Organization Active NPI

Serenity House of Clallam County

  • Case Management Agency
  • Port Angeles, WA
National Provider Identifier
1982198214
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SERENITY HOUSE OF CLALLAM COUNTY
Practice address
2203 W. 18TH Street
Port Angeles, WA 98363
Phone
(360) 452-7224
Fax
(360) 452-0806
NPI assigned
Jun 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Richard Robinson
Title
Executive Director
Phone
(360) 452-7224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2203 W. 18TH Street
Port Angeles, WA 98363

Mailing address

PO Box 4047
Port Angeles, WA 98363
Phone (360) 452-7224

National Provider Directory

National Provider Directory

Locations

2203 W 18th St
Port Angeles, WA 98363
Phone (360) 452-7224

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1982198214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4047",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "98363",
            "telephone_number": "360-452-7224",
            "fax_number": "360-452-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W. 18TH STREET",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "98363",
            "telephone_number": "360-452-7224",
            "fax_number": "360-452-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOUSE OF CLALLAM COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-452-7224",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.