Organization Active NPI

Serenity Safe Home

  • Lodging Provider
  • Norfolk, VA
National Provider Identifier
1992538797
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
SERENITY SAFE HOME
Practice address
733 W 37TH St
Norfolk, VA 23508-3117
Phone
(757) 477-2816
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Deanthony Edwards
Title
Owner
Phone
(757) 477-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary

Addresses

Primary practice location

733 W 37TH St
Norfolk, VA 23508-3117

Mailing address

4222 Columbus Ave
Norfolk, VA 23504-1074
Phone (757) 477-2816

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1992538797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 COLUMBUS AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041074",
            "telephone_number": "757-477-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 W 37TH ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235083117",
            "telephone_number": "757-477-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SAFE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DEANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-477-2816"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.