SERENITY MANOR – NPI #1336588243
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

SERENITY MANOR is a residential treatment facility (RTF) located in NORTH CHARLESTON, SC. NPPES has assigned the NPI number 1336588243 to SERENITY MANOR on June 24, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical 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 MANOR below.

NPI Profile for
SERENITY MANOR

NPI Number
1336588243
Enumeration Date

(about 13 years 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 MANOR
Primary location
4018 S RHETT AVE
NORTH CHARLESTON, SC 29405-7163
Phone: (843) 554-0733 Fax:
Mailing address
PO BOX 21934
CHARLESTON, SC 29413-1934
Phone: (843) 554-0733 Fax:
Organization Subpart
No
Authorized Official
HATTIE FIELDS
ADMINISTRATOR
Phone: (843) 554-0733
Updated
Identifiers

Identifiers for SERENITY MANOR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCRC1472
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
320700000X
- Residential Treatment Facility, Physical Disabilities (Primary)
SC 12184-C07

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.