SERENITY SUPPORT SERVICES – NPI #1043159171
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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.

SERENITY SUPPORT SERVICES is a residential treatment facility located in CHARLOTTE, NC. NPPES recently assigned the NPI number 1043159171 to SERENITY SUPPORT SERVICES on March 25, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SERENITY SUPPORT SERVICES below.

NPI Profile for
SERENITY SUPPORT SERVICES

NPI Number
1043159171
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SERENITY SUPPORT SERVICES
Primary location
8424 N TRYON ST UNIT 330
CHARLOTTE, NC 28262-3790
Phone: (704) 564-6632 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TESHAONA PEETS-BUTCHER
OWNER
Phone: (704) 564-6632
Updated
Certification Date
Mar 25, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.