Serenity Center

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

CO-404-08 Issued in VA

Legal business name

SERENITY CENTER

Practice address

106 Fox Hill Rd
Hampton, VA 23669-2309

Phone

(757) 851-2256

Fax

(757) 851-2254

NPI assigned

Jul 25, 2008

Last updated

Jul 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lakimbalynn Moneek Parker

Title

Human Resource Director

Phone

(757) 851-2256

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1972768323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 KAITLYN CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233211958",
            "telephone_number": "757-851-2256",
            "fax_number": "757-405-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FOX HILL RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236692309",
            "telephone_number": "757-851-2256",
            "fax_number": "757-851-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LAKIMBALYNN",
        "authorized_official_middle_name": "MONEEK",
        "authorized_official_title_or_position": "HUMAN RESOURCE DIRECTOR",
        "authorized_official_telephone_number": "757-851-2256"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "CO-404-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972768323",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Hampton, VA
• Providers in Hampton, VA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.