Organization Active NPI

Serenity 4 Life

  • Community/Behavioral Health Agency
  • Goldsboro, NC
National Provider Identifier
1467738096
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SERENITY 4 LIFE
Practice address
2111 N William St
Goldsboro, NC 27530-1437
Phone
(919) 731-9812
Fax
(919) 731-9813
NPI assigned
Oct 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Mr. Harry Townsend Jr.
Title
Owner/Ceo
Phone
(919) 288-6887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2111 N William St
Goldsboro, NC 27530-1437

Mailing address

3200 Central Heights Rd
Goldsboro, NC 27534-7735
Phone (919) 288-6887

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1467738096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CENTRAL HEIGHTS RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347735",
            "telephone_number": "919-288-6887",
            "fax_number": "919-731-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N WILLIAM ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275301437",
            "telephone_number": "919-731-9812",
            "fax_number": "919-731-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY 4 LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "919-288-6887",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.