NPIMap

Organization Active NPI

Serenity Valley Family Network

  • Mental Illness Community Based Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1053651505
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SERENITY VALLEY FAMILY NETWORK
Practice address
215 Philip St
Detroit, MI 48215-3141
Phone
(313) 828-0024
NPI assigned
Feb 20, 2013
Last updated
Feb 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Mrs. Susan Cecilia GriffinNPI 1285974832
Title
Owner
Phone
(313) 828-0024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary
Early Intervention Provider Agency 252Y00000X NU

Addresses

Primary practice location

215 Philip St
Detroit, MI 48215-3141

Mailing address

215 Philip St
Detroit, MI 48215-3141
Phone (313) 828-0024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1053651505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PHILIP ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482153141",
            "telephone_number": "313-828-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PHILIP ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482153141",
            "telephone_number": "313-828-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY VALLEY FAMILY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-828-0024",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.