Provider Demographics
NPI:1205718772
Name:SERENITY HOUSE
Entity type:Organization
Organization Name:SERENITY HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:MERRITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-631-7021
Mailing Address - Street 1:24 ISSAC MURPHY RD
Mailing Address - Street 2:
Mailing Address - City:HARRELLS
Mailing Address - State:NC
Mailing Address - Zip Code:28444-7723
Mailing Address - Country:US
Mailing Address - Phone:910-631-7021
Mailing Address - Fax:
Practice Address - Street 1:24 ISSAC MURPHY RD
Practice Address - Street 2:
Practice Address - City:HARRELLS
Practice Address - State:NC
Practice Address - Zip Code:28444-7723
Practice Address - Country:US
Practice Address - Phone:910-631-7021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No174200000XOther Service ProvidersMeals
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No177F00000XOther Service ProvidersLodging
No251B00000XAgenciesCase Management
No253J00000XAgenciesFoster Care Agency
No347C00000XTransportation ServicesPrivate Vehicle
No253Z00000XAgenciesIn Home Supportive Care
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities