Active NPI
Serenity Hills Life Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Wheeling, WV
National Provider Identifier
1043717937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction Medicine (Family Medicine) Physician
- Wheeling, WV
- NPI 1487202826
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.