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SERENITY PROMISE NPI 1265925648


NPI Information

NPI: 1265925648
Provider Name: SERENITY PROMISE
Classification: Technician - 3747P1801X
Entity Type: Organization

Specialization: Personal Care Attendant

Address:
4540 COCHISE TRL
NORTH CHESTERFIELD, VA
ZIP 23237
Phone: (804) 439-2206
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SERENITY PROMISE is a personal care attendant technician in North Chesterfield, VA. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards SERENITY PROMISE NPI is 1265925648. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4540 COCHISE TRL
NORTH CHESTERFIELD, VA
ZIP 23237-559
Phone: (804) 439-2206
Fax: (804) 743-2591

The provider's authorized official is Sonya B Weaver .
The authorized official title is Manager and has the following contact phone number (804) 439-2206.

The enumeration date for this NPI number is 6/11/2018 and was last updated on 6/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13747P1801XTechnicianPersonal Care Attendant0001199186VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11578051801MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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