Active NPI
Rahab Serenity Home Phase LL LLC
- Community/Behavioral Health Agency
- Washington, NC
National Provider Identifier
1508720970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- RAHAB SERENITY HOME PHASE LL LLC
- Practice address
- 27 Vermont Ave
Washington, NC 27889-7467 - Phone
- (252) 916-3132
- NPI assigned
- Dec 10, 2025
- 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
- Shaniya Lewis
- Title
- Administrator/Owner
- Phone
- (252) 916-3132
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
27 Vermont Ave
Washington, NC 27889-7467
Mailing address
108 Wyndham Cir Apt B
Greenville, NC 27858-1663
Phone (252) 916-3132
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1508720970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 WYNDHAM CIR APT B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278581663",
"telephone_number": "252-916-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 VERMONT AVE",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278897467",
"telephone_number": "252-916-3132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAHAB SERENITY HOME PHASE LL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-10",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "SHANIYA",
"authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
"authorized_official_telephone_number": "252-916-3132"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.