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SERENITY PLACE IV
NPI 1699802827
Custodial Care Facility - Adult Care Home in Raleigh, NC

Active since February 27, 2007
5040 KAPLAN DR, RALEIGH, NC 27606(919) 771-9173(919) 367-0816 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Serenity Place Iv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY PLACE IV (NPI 1699802827) is a healthcare organization registered as an adult care home in Raleigh, North Carolina and active in the NPI registry since February 2007. The organization lists Clarice Shyllon Faulkner, President, as its authorized official.

NPPES Registry Identity

NPI1699802827
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSERENITY INCORPORATED
Location Address5040 KAPLAN DRRaleigh, NC 27606-2523
Mailing AddressPo Box 1583Cary, NC 27512-1583 · (919) 771-9173 · Fax (919) 367-0816
Phone(919) 771-9173
Fax(919) 367-0816
Organization SubpartYes
Authorized OfficialClarice Shyllon FaulknerPresident · (919) 771-9173
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJune 30, 2008
✔ NPI 1699802827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · MHL-092-464
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
5040 KAPLAN DR, Raleigh, NC 27606
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Other Names 1

Doing Business AsSerenity Place Iv

Other Identifiers 1

Medicaid7804212NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVALON # 4
Custodial Care Facility (Adult Care Home)
5040 KAPLAN DR
RALEIGH, NC 27606
Wake County (336) 253-2219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Incorporated's NPI number?

The NPI number for Serenity Incorporated is 1699802827. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Serenity Place IV.

Where is Serenity Incorporated located?

Serenity Incorporated is located at 5040 Kaplan Dr, Raleigh, NC 27606. The listed phone number is (919) 771-9173.

What is Serenity Incorporated's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Serenity Incorporated was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.