Provider Type Icon

SERENITY GARDENS REHAB NPI 1376097923


NPI Information

NPI: 1376097923
Provider Name: SERENITY GARDENS REHAB
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
5830 COHASSET WAY
SAN JOSE, CA
ZIP 95123
Phone: (650) 520-9148
Get Directions

SERENITY GARDENS REHAB is a substance abuse rehabilitation facility in San Jose, 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 GARDENS REHAB NPI is 1376097923. The provider is registered as an organization entity type.

The provider's business location address is:

5830 COHASSET WAY
SAN JOSE, CA
ZIP 95123-710
Phone: (650) 520-9148

The provider's authorized official is Amy Dalli .
The authorized official title is Chief Executive Officer and has the following contact phone number (650) 520-9148.

The enumeration date for this NPI number is 8/12/2016 and was last updated on 4/25/2017.


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 FacilityYes

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: 4/28/2024

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.