CMS-1500 Box 24J / 33a • NPI
1194014001
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
310400000X
Licensed & Credentialed Assisted Living Facility
Box 32 Service Location & ZIP+4
1436 BLAND SCHOOL RD, HARRELLS, NC, 28444-7609
✓ 9-Digit EDI 837 ZIP+4 (28444-7609)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1194014001 (SERENIY FAMILY CARE HOME) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1194014001 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | SERENIY FAMILY CARE HOME |
| Plain-English Specialty | Licensed & Credentialed Assisted Living Facility NUCC Code: 310400000X (Assisted Living Facility) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1436 BLAND SCHOOL RD, HARRELLS, NC, 28444-7609 |
| Practice Telephone / Fax | Tel: (910) 532-4805 | Fax: (910) 532-2766 |
| Administrative Mailing Address | PO BOX 377, HARRELLS, NC, 28444-0377 |
| Enumeration & Last Sync | Enumerated: 2011-03-31 | CMS Record Updated: 2011-03-31 |
| Authorized Official | ERICA FENNELL (Owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in HARRELLS
🔒 Are you SERENIY FAMILY CARE HOME? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (310400000X)
What Does Taxonomy Code 310400000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 310400000X translates to:
"Licensed & Credentialed Assisted Living Facility"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SERENIY FAMILY CARE HOME)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
3104A0625X — Assisted Living Facility, Assisted Living, Mental IllnessPlain English: Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness | State: NC | License: FCH-082-017 | Primary: Secondary |
310400000X — Assisted Living FacilityPlain English: Licensed & Credentialed Assisted Living Facility | State: NC | License: FCH-082-017 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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