NPIMap

Organization Active NPI

The Serenity House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Concord, NC
National Provider Identifier
1073634408
Registry record updated Jan 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
MHL-013-001 Issued in NC
Legal business name
THE SERENITY HOUSE, INC.
Practice address
172 Spring St SW
Concord, NC 28025-5035
Phone
(704) 786-8722
Fax
(704) 782-7422
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2009

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

Authorized official

Name
Mr. James L Crowe
Title
Executive Director
Phone
(704) 786-8722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X MHL-013-001 NC Primary

Addresses

Primary practice location

172 Spring St SW
Concord, NC 28025-5035

Mailing address

172 Spring St SW
Concord, NC 28025-5035
Phone (704) 786-8722

National Provider Directory

National Provider Directory

Locations

172 Spring St SW
Concord, NC 28025
Phone (704) 786-8722

Practitioners & affiliated clinicians

Practitioners 2

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230768000000",
    "number": "1073634408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 SPRING ST SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255035",
            "telephone_number": "704-786-8722",
            "fax_number": "704-782-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 SPRING ST SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255035",
            "telephone_number": "704-786-8722",
            "fax_number": "704-782-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SERENITY HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-01-01",
        "status": "A",
        "authorized_official_last_name": "CROWE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-786-8722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": "MHL-013-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2009; 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.