Provider Type Icon

SERENITY RECOVERY CENTER INC. NPI 1003946955


NPI Information

NPI: 1003946955
Provider Name: SERENITY RECOVERY CENTER, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
14512 CARFAX DR
APT. A
TUSTIN, CA
ZIP 92780
Phone: (714) 368-0500
Get Directions

SERENITY RECOVERY CENTER, INC. is a substance abuse rehabilitation facility in Tustin, CA. The provider is 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. SERENITY RECOVERY CENTER, INC. NPI is 1003946955. The provider is registered as an organization entity type.

The provider's business location address is:

14512 CARFAX DR
APT. A
TUSTIN, CA
ZIP 92780-230
Phone: (714) 368-0500
Fax: (714) 368-0545

The provider's authorized official is Ben Bacud .
The authorized official title is Owner and has the following contact phone number (714) 368-0500.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility300180APCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.