Organization Active NPI

Syrenity House Empowered

  • Case Management Agency
  • Charlotte, NC
National Provider Identifier
1225694581
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SYRENITY HOUSE EMPOWERED
Practice address
974 Plaza Walk Dr
Charlotte, NC 28215-1861
Phone
(919) 673-1424
NPI assigned
May 13, 2019
Last updated
May 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Sharnella McCraeNPI 1821564592
Title
Director
Phone
(919) 673-1424

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 Management Agency 251B00000X NU Primary

Addresses

Primary practice location

974 Plaza Walk Dr
Charlotte, NC 28215-1861

Mailing address

974 Plaza Walk Dr
Charlotte, NC 28215-1861

Other identifiers 1

IdentifierTypeStateIssuer
1821564592MedicaidNC

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": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1225694581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 PLAZA WALK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282151861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 PLAZA WALK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282151861",
            "telephone_number": "919-673-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRENITY HOUSE EMPOWERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "MCCRAE",
        "authorized_official_first_name": "SHARNELLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-673-1424"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821564592",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.