Provider Type Icon

SERENITY HOUSE INC NPI 1588892848


NPI Information

NPI: 1588892848
Provider Name: SERENITY HOUSE, INC

Doing Business As: SERENITY PARK

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2801 W ROOSEVELT RD
LITTLE ROCK, AR
ZIP 72204
Phone: (501) 663-7627
Get Directions

SERENITY HOUSE, INC is a substance abuse rehabilitation facility in Little Rock, AR. 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 HOUSE, INC NPI is 1588892848. The provider is registered as an organization entity type.
The provider Is Doing Business As Serenity Park.

The provider's business location address is:

2801 W ROOSEVELT RD
LITTLE ROCK, AR
ZIP 72204-655
Phone: (501) 663-7627
Fax: (501) 663-2859

The provider's authorized official is Larry A Gaines .
The authorized official title is Executive Director and has the following contact phone number (501) 663-7627.

The enumeration date for this NPI number is 6/25/2009 and was last updated on 6/25/2009.


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 FacilityARKANSASYes

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
1D546312OTHERARKANSASARKANSAS DIVISION OF BEHAVIORAL HEALTH- OADAP

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.