Active NPI
Serenity C & C Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Hampton, VA
National Provider Identifier
1992961908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 1081
- Legal business name
- SERENITY C & C INC.
- Practice address
- 100 Glica CT
Hampton, VA 23666-5699 - Phone
- (757) 896-1006
- NPI assigned
- Jul 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marietta Cottingham
- Title
- Program Director
- Phone
- (757) 896-1006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 1081 | VA | Primary |
Addresses
Primary practice location
100 Glica CT
Hampton, VA 23666-5699
Mailing address
100 Glica CT
Hampton, VA 23666-5699
Phone (757) 896-1006
National Provider Directory
National Provider DirectoryLocations
103 Research Dr
Hampton, VA 23666
Phone (757) 788-8490
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Falls Church, VA
- NPI 1679756290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217376000000",
"number": "1992961908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GLICA CT",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665699",
"telephone_number": "757-896-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GLICA CT",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665699",
"telephone_number": "757-896-1006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY C & C INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-30",
"last_updated": "2008-07-30",
"status": "A",
"authorized_official_last_name": "COTTINGHAM",
"authorized_official_first_name": "MARIETTA",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "757-896-1006",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "VA",
"license": "1081",
"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 30, 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.