Organization Active NPI

Melissa Robbins

Doing business as Serenity Waiver Transition Services

  • Case Manager/Care Coordinator
  • Sugar Grove, VA
National Provider Identifier
1194451237
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
MELISSA ROBBINS
Doing business as
Serenity Waiver Transition Services
Practice address
643 Brooks LN
Sugar Grove, VA 24375-3187
Phone
(276) 780-2393
Fax
(877) 840-5216
NPI assigned
Jul 30, 2022
Last updated
Jul 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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

Authorized official

Name
Melissa RobbinsNPI 1619628872
Title
Owner/Service Facilitator
Phone
(276) 780-2393

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

643 Brooks LN
Sugar Grove, VA 24375-3187

Mailing address

643 Brooks LN
Sugar Grove, VA 24375-3187
Phone (276) 780-2393

Other identifiers 1

IdentifierTypeStateIssuer
1619628872MedicaidVA

Other names 1

  • Serenity Waiver Transition Services Doing business as

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": "1659139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659139200000",
    "number": "1194451237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 BROOKS LN",
            "city": "SUGAR GROVE",
            "state": "VA",
            "postal_code": "243753187",
            "telephone_number": "276-780-2393",
            "fax_number": "877-840-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 BROOKS LN",
            "city": "SUGAR GROVE",
            "state": "VA",
            "postal_code": "243753187",
            "telephone_number": "276-780-2393",
            "fax_number": "877-840-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA ROBBINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/SERVICE FACILITATOR",
        "authorized_official_telephone_number": "276-780-2393"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619628872",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Waiver Transition Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Grove, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; 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.