Organization Active NPI

Serenity C & C Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hampton, VA
National Provider Identifier
1992961908
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
1081 Issued in VA
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

Updated by the provider on Jul 30, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.