THE SERENITY HOUSE, INC. (NPI# 1073634408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073634408 |
| Entity Type | Organization |
| Organization Name | THE SERENITY HOUSE, INC. |
| Practice Address |
172 Spring St Sw Concord NC 28025-5035 |
| Practice Telephone | 7047868722 |
| Practice Fax Number | 7047827422 |
| Mailing Telephone | 7047868722 |
| Mailing Fax Number | 7047827422 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-01-01 |
| Authorized Official Name | MR. JAMES L CROWE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7047868722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | MHL-013-001 | NC | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | THE SERENITY HOUSE, INC. | 3 Hudson Street, Malden, MA 02148 |
| Street Address |
172 SPRING ST SW |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-5035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700443207 | Mark Sturgis Jr. | Psychologist | 172 Spring St Sw, Concord, NC 28025-5035 | 2019-05-21 |
| 1700349115 | Jacqueline Lovon Jordan | Counselor | 172 Spring St Sw, Concord, NC 28025-5035 | 2019-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700404464 | Aware Recovery Care of Massachusetts, LLC | Substance Abuse Rehabilitation Facility | 9 Damonmill Sq Ste 105, Concord, MA 01742-2858 | 2020-07-09 |
| 1912556903 | New Start Recovery Solutions | Substance Abuse Rehabilitation Facility | 2449 Pacheco St Ste A, Concord, CA 94520-2019 | 2019-09-11 |
| 1417496068 | Frederic Ozanam Center -emerald City | Substance Abuse Rehabilitation Facility | 2950 Prospect Ave, Concord, CA 94518-1025 | 2017-02-15 |
| 1538607460 | Frederic Ozanam Center-rainbow Village | Substance Abuse Rehabilitation Facility | 2901 Prospect Ave, Concord, CA 94518-1024 | 2017-02-11 |
| 1083152912 | Bi-bett | Substance Abuse Rehabilitation Facility | 1390 Santa Clara Ave, Concord, CA 94518-1031 | 2017-02-11 |
| 1437213592 | Recovery Management Services, Inc. | Substance Abuse Rehabilitation Facility | 2449 Pacheco St, Concord, CA 94520-2019 | 2006-12-21 |
| 1265453195 | Sunrise House, Inc. | Substance Abuse Rehabilitation Facility | 135 Mason Cir Ste M, Concord, CA 94520-1258 | 2006-07-23 |
| 1528608023 | Landmark Recovery of Concord LLC | Substance Abuse Rehabilitation Facility | 785 Main St, Concord, MA 01742-3310 | 2020-01-13 |
| 1750949533 | Center Point, Inc. | Substance Abuse Rehabilitation Facility | 1470 Civic Ct, Concord, CA 94520-5290 | 2019-06-05 |
| 1184190738 | Avenues Recovery Extended Care LLC | Substance Abuse Rehabilitation Facility | 81 Hall St, Concord, NH 03301-3488 | 2018-10-22 |
| Find all providers in CONCORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.