Sunset Serenity Care Home LLC
Technician, Personal Care Attendant in Salem, OR. Organization (NPI-2).
NPI number1124998554
StatusActive
Last updated in NPPESNov 10, 2025
Details
- NPI
- 1124998554
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunset Serenity Care Home LLC
- Organization subpart
- No
- Enumeration date
- Nov 10, 2025
- Certification date
- Nov 10, 2025
- Last updated
- Nov 10, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
4286 Camellia Dr SSalem, OR 97302-2710
Phone 971-406-5944
Mailing address
4286 Camellia Dr SSalem, OR 97302-2710
Phone 971-406-5944
Authorized official
Derron Simpson
Owner
9714065944
Is something wrong?
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