SERENITY CENTER (NPI# 1972768323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972768323 |
| Entity Type | Organization |
| Organization Name | SERENITY CENTER |
| Practice Address |
106 Fox Hill Rd Hampton VA 23669-2309 |
| Mailing Address |
4313 Kaitlyn Ct Chesapeake VA 23321-1958 |
| Practice Telephone | 7578512256 |
| Practice Fax Number | 7578512254 |
| Mailing Telephone | 7578512256 |
| Mailing Fax Number | 7574053618 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |
| Authorized Official Name | LAKIMBALYNN MONEEK PARKER (HUMAN RESOURCE DIRECTOR) |
| Authorized Official Telephone | 7578512256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | CO-404-08 | VA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1972768323 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013144732 | Serenity Center | Preferred Provider Organization | 5615g Jackson Street Ext, Alexandria, LA 71303-2368 | 2009-06-20 |
| 1316319650 | Serenity Center | Community/Behavioral Health | 4200 Perimeter Center Dr, Suite 125, Oklahoma City, OK 73112-2324 | 2015-10-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SERENITY CENTER FOR PERSONAL GROWTH, INC. | |
| Colorado Business Entities | Serenity Center Massage, LLC | 1380 S Yarrow St, Lakewood, CO 80232 |
| North Carolina Corporations | Serenity Center of Eastern North Carolina LLC | 718 Golden Rain Ct, Greenville, NC 27858 |
| Street Address |
106 FOX HILL RD |
| City | HAMPTON |
| State | VA |
| Zip Code | 23669-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225519325 | Morgan Mead | Dietitian, Registered | Usaf Hospital, 77 Nealy Ave, Apo, AA 23669 | 2018-08-27 |
| 1689193690 | Tisha Marie Payne | In Home Supportive Care | 52 Old Hampton Ln Suite F, Hampton, VA 23669 | 2017-09-12 |
| 1275063372 | Crystal Sharps | Registered Nurse | 27 Rockingham Dr, Hampton, VA 23669 | 2017-06-13 |
| 1851826945 | Icare Health Care Services, LLC | Home Health | 1314 Willnew Dr, Hampton, VA 23669 | 2017-04-26 |
| 1790132173 | Jennifer Jones-hicks | Speech-Language Pathologist | 67 Red Robin Turn, Hampton, VA 23669 | 2016-05-16 |
| 1316313588 | Elizabeth Anne Brewer | Physical Therapist | 23 Curle Road, Hampton, VA 23669 | 2015-08-11 |
| 1497132146 | Felicia Walker | Driver | 129 Settlers Landing Rd, Hampton, VA 23669 | 2015-05-01 |
| 1821375858 | Alabaster Anointed Home Care LLC | Home Health | 703 Essex Park Drive, Hampton, VA 23669 | 2011-11-04 |
| 1649414269 | Genesis Healthcare | Rehabilitation Hospital | 113 Atwell Lane, Hampton, VA 23669 | 2009-04-27 |
| 1689648164 | Anthony P Fisher | Family Medicine | 200 Eaton St, Hampton, VA 23669 | 2006-02-14 |
| Find all providers in zip 23669 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295936656 | Odyssey House, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 124 Landing Rd, Hampton, NH 03842-2603 | 2007-05-31 |
| 1295936730 | Odyssey House, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 30 Winnacunnet Rd, Hampton, NH 03842-2121 | 2007-05-31 |
| 1801097753 | Dominion Services for All People | Residential Treatment Facility, Emotionally Disturbed Children | 9 Maume Cir, Hampton, VA 23666-1716 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336619667 | The Discovery School of Virginia, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2697 Copper Mine Road, Dillwyn, VA 23936-2393 | 2018-11-29 |
| 1184102188 | Limitless Growth | Residential Treatment Facility, Emotionally Disturbed Children | 115 Reese Dr, Danville, VA 24540-1185 | 2018-08-01 |
| 1871099721 | Imagination LLC | Residential Treatment Facility, Emotionally Disturbed Children | 318 N Wilkinson Rd, Richmond, VA 23227-1631 | 2018-03-31 |
| 1245698935 | Summer House | Residential Treatment Facility, Emotionally Disturbed Children | 16056 Elderly Ln, Timberville, VA 22853-2922 | 2016-02-09 |
| 1194105346 | Tamara Doud | Residential Treatment Facility, Emotionally Disturbed Children | 165 Motoka Dr Apt 1, Newport News, VA 23602-4053 | 2015-06-03 |
| 1679953871 | Just Understanding My Priorities | Residential Treatment Facility, Emotionally Disturbed Children | 7109 Barry Rd, Alexandria, VA 22315-3408 | 2015-06-02 |
| 1538507983 | Alc Youth & Family Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 14200 Kentwood Forest Dr, Chester, VA 23831-8029 | 2013-06-07 |
| 1366790107 | Hamlet House Youth Services, IIi LLC | Residential Treatment Facility, Emotionally Disturbed Children | 206 Carlstone Dr, Highland Springs, VA 23075-2503 | 2012-08-28 |
| 1417214149 | Turning Point Home for Boys, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4701 Stonehurst Dr, Woodbridge, VA 22192-5727 | 2012-04-19 |
| 1699046094 | Intercept Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 410 Adkins Rd, North Chesterfield, VA 23236-2833 | 2012-01-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.