SERENITY CARE WITH LOVE, LLC
NPI 1912266396
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Greenville, NC

Active since May 07, 2012
1205 B 8 CROSSCREEK CIRCLE, GREENVILLE, NC 27834(804) 301-5920 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Residential Treatment Facility, Intellec...

About SERENITY CARE WITH LOVE, LLC

This page provides the complete NPI Profile along with additional information for Serenity Care With Love, Llc, a provider established in Greenville, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1912266396 assigned on May 2012. The practitioner's primary taxonomy code is 320600000X with license number MHL-074-238 (NC). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Tamika Renee Groves (Chief Executive Officer)

NPI
1912266396 Verify this NPI
Provider Name
SERENITY CARE WITH LOVE, LLC
Entity Type
Organization
Location Address
1205 B 8 CROSSCREEK CIRCLE GREENVILLE, NC 27834
Location Phone
(804) 301-5920
Mailing Address
PO BOX 30202 GREENVILLE, NC 27833
Mailing Phone
(804) 301-5920
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2012
Last Update Date
05-07-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
MHL-074-238
License State
NC
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TAMIKA RENEE GROVES

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(804) 301-5920

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912266396, enumerated as an "organization" on May 07, 2012.

The provider is located at 1205 B 8 CROSSCREEK CIRCLE GREENVILLE, NC 27834 and the phone number is (804) 301-5920.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.