Organization Active NPI

Serenity Hills Life Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wheeling, WV
National Provider Identifier
1043717937
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SERENITY HILLS LIFE CENTER
Doing business as
Heart 2 Heart Volunteers, Inc.
Practice address
667 Stone Shannon Rd
Wheeling, WV 26003-6742
Phone
(304) 277-4657
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sharon Travis
Title
Executive Director
Phone
(304) 277-4657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

667 Stone Shannon Rd
Wheeling, WV 26003-6742

Mailing address

220 Bethany Pike
Wheeling, WV 26003-1608
Phone (304) 281-0474

Other names 1

  • Heart 2 Heart Volunteers, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

667 Stone Shannon Rd
Wheeling, WV 26003
Phone (304) 277-4657

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1043717937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BETHANY PIKE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260031608",
            "telephone_number": "304-281-0474",
            "fax_number": "304-905-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 STONE SHANNON RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036742",
            "telephone_number": "304-277-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HILLS LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-277-4657"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart 2 Heart Volunteers, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heart 2 Heart Volunteers, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.