Serenity Manor

LBN: Serenity Manor
Serenity Manor is an health care organization with primary practice located at 4018 S Rhett Ave , N Charleston SC 29405-7163. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as the primary health care specialty. Serenity Manor can be contacted via phone (843) 554-0733, or through Fields, Hattie via phone (843) 554-0733.

Contact Information

Primary practice address
4018 S Rhett Ave N Charleston SC 29405-7163
Phone: (843) 554-0733
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fields, Hattie Registered Nurse (RN)
Phone: (843) 554-0733

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 12184-C07 South Carolina

Profile Details

NPI number 1336588243
LBN Legal business name Serenity Manor
DBA Doing business as
Authorized official Fields, Hattie Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2013
Last updated Jun 24th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336588243 NPPES
South Carolina MEDICAID RC1472

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