SERENITY @ SHILOH LLC
NPI 1033795794
Community Based Residential Treatment Facility, Mental Illness in Greenville, NC

NPI Status: Active since March 23, 2021

Contact Information

1105 COLONIAL AVE
GREENVILLE, NC
ZIP 27834
Phone: (336) 365-8466

Get Directions Write a Review

  • Organization
  • Community Based Residential Treatment Fa...

About SERENITY @ SHILOH LLC

This page provides the complete NPI Profile along with additional information for Serenity @ Shiloh Llc, a provider established in Greenville, North Carolina operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1033795794 assigned on March 2021. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Janesha Faulk (Ceo/director)

NPI
1033795794
Provider Name
SERENITY @ SHILOH LLC
Entity Type
Organization
Location Address
1105 COLONIAL AVE GREENVILLE, NC 27834
Location Phone
(336) 365-8466
Mailing Address
4700 PENNOAK LN APT K GREENSBORO, NC 27407
Mailing Phone
(919) 880-5836
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2021
Last Update Date
03-23-2021
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1385H00000XRespite Care Facility

Respite Care

 
2385HR2055XRespite Care Facility

Respite Care
Respite Care, Mental Illness, Child

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JANESHA FAULK

Authorized Official Title
CEO/DIRECTOR
Authorized Official Phone
(919) 880-5836

Reviews for SERENITY @ SHILOH LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033795794
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206314910718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 4 + 9 + 1 + 0 + 7 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1033795794 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033795794, enumerated as an "organization" on March 23, 2021.

The provider is located at 1105 COLONIAL AVE GREENVILLE, NC 27834 and the phone number is (336) 365-8466.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.