Organization Active NPI

Granting Serentiy Group LLC

  • Community/Behavioral Health Agency
  • Hampton, VA
National Provider Identifier
1508758368
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRANTING SERENTIY GROUP LLC
Practice address
4410 Claiborne SQ E
Hampton, VA 23666-2071
Phone
(804) 528-9889
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Amonn Medlock
Title
Ceo
Phone
(804) 528-9889

Specialties & licenses 1

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

Addresses

Primary practice location

4410 Claiborne SQ E
Hampton, VA 23666-2071

Mailing address

4410 Claiborne SQ E
Hampton, VA 23666-2071
Phone (804) 528-9889

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1508758368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQ E",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662071",
            "telephone_number": "804-528-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQ E",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662071",
            "telephone_number": "804-528-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANTING SERENTIY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "MEDLOCK",
        "authorized_official_first_name": "AMONN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-528-9889"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.