NPIMap

Organization Active NPI

Serenitys Place, Inc.

  • Case Management Agency
  • Kannapolis, NC
National Provider Identifier
1770729683
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SERENITYS PLACE, INC.
Practice address
3072 Dale Earnhardt Blvd.
Kannapolis, NC 28083-1405
Phone
(704) 492-0406
NPI assigned
Dec 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Lothel Watson
Title
Director
Phone
(704) 492-0406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3072 Dale Earnhardt Blvd.
Kannapolis, NC 28083-1405

Mailing address

3072 Dale Earnhardt Blvd
Kannapolis, NC 28083-1405
Phone (704) 492-0406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1770729683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3072 DALE EARNHARDT BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280831405",
            "telephone_number": "704-492-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3072 DALE EARNHARDT BLVD.",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280831405",
            "telephone_number": "704-492-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITYS PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LOTHEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-492-0406"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.