Active NPI
Serenity's Haven, Inc.
- Case Management Agency
- Winston Salem, NC
National Provider Identifier
1255534905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- SERENITY'S HAVEN, INC.
- Practice address
- 163 Stratford CT
Box 27, Suite 245
Winston Salem, NC 27103-1836 - Phone
- (336) 917-3131
- Fax
- (336) 917-3255
- NPI assigned
- Jun 8, 2007
- 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
- Miss Saprina Latoya Campbell
- Title
- Executive Director
- Phone
- (336) 917-3131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
163 Stratford CT
Box 27, Suite 245
Winston Salem, NC 27103-1836
Mailing address
163 Stratford CT
Box 27, Suite 245
Winston Salem, NC 27103-1836
Phone (336) 917-3131
National Provider Directory
National Provider DirectoryLocations
163 Stratford Ct
Ste 245
Winston Salem, NC 27103
Phone (336) 917-3131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190592000000",
"number": "1255534905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 STRATFORD CT",
"address_2": "BOX 27, SUITE 245",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031836",
"telephone_number": "336-917-3131",
"fax_number": "336-917-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 STRATFORD CT",
"address_2": "BOX 27, SUITE 245",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031836",
"telephone_number": "336-917-3131",
"fax_number": "336-917-3255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY'S HAVEN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-08",
"last_updated": "2007-09-24",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "SAPRINA",
"authorized_official_middle_name": "LATOYA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "336-917-3131",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.