Organization
SERENITY @ SHILOH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANESHA NEWSOME (CEO/DIRECTOR)
(336) 542-8532
Entity
Organization
Contact information
Practice address
433 PATTON AVE., ASHEBORO, NC 27203-5033
(336) 542-8532
Mailing address
2223 N. CHURCH ST STE E, GREENSBORO, NC 27405-4307
(336) 542-8532
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
03/23/2021
Last updated
03/27/2026
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