SERENITY GUIDED CARE LLC NPI 1487247854

NPI Information

NPI: 1487247854
Provider Name: SERENITY GUIDED CARE LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
:
Address: 117 COMMONS WAY # 203
GREENVILLE, SC
ZIP 29611
Phone: (864) 405-0775

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NPI Details

SERENITY GUIDED CARE LLC is an in home supportive care in Greenville, SC. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. SERENITY GUIDED CARE LLC NPI is 1487247854. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

117 COMMONS WAY # 203
GREENVILLE, SC
ZIP 29611-850
Phone: (864) 405-0775
Fax: (803) 574-6981

The provider's authorized official is Rahchel Nia Forrest-rice .
The authorized official title is Administrator and has the following contact phone number (864) 405-0775.

The enumeration date for this NPI number is 2/17/2021 and was last updated on 5/21/2025.

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	Primary
1	172V00000X	Community Health Worker		No
2	347C00000X	Private Vehicle		No
3	372600000X	Adult Companion		No
4	385H00000X	Respite Care		No
5	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	No
6	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
7	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
8	253Z00000X	In Home Supportive Care		Yes

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
1	1487247854	MEDICAID	SOUTH CAROLINA
2	1487247854	OTHER	SOUTH CAROLINA	IN-HOME SUPPORTIVE SERVICES

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: 11/21/2025

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