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SERENE HEALTH NPI 1326703752


NPI Information

NPI: 1326703752
Provider Name: SERENE HEALTH
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2155 CHICAGO AVE STE 203
RIVERSIDE, CA
ZIP 92507
Phone: (844) 737-3638
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SERENE HEALTH is a mental health (including community mental health center) clinic center in Riverside, CA. SERENE HEALTH NPI is 1326703752. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2155 CHICAGO AVE STE 203
RIVERSIDE, CA
ZIP 92507-209
Phone: (844) 737-3638

The provider's authorized official is Oscar Medina .
The authorized official title is Ceo and has the following contact phone number (844) 737-3638.

The enumeration date for this NPI number is 11/1/2021 and was last updated on 1/9/2023.


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
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
31041C0700XSocial WorkerClinicalNo
4171M00000XCase Manager/Care CoordinatorNo
5251C00000XDay Training, Developmentally Disabled ServicesNo
6251X00000XSupports BrokerageNo
7261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
8332U00000XHome Delivered MealsNo
93747A0650XTechnicianAttendant Care ProviderNo
103747P1801XTechnicianPersonal Care AttendantNo
11376J00000XHomemakerNo
12385H00000XRespite CareNo
13261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1214EN118MEDICAIDCALIFORNIA

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.