Organization Active NPI

Serenity's Haven, Inc.

  • Case Management Agency
  • Winston Salem, NC
National Provider Identifier
1255534905
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Sep 24, 2007

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.