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SERENITY HOUSE INC NPI 1659412955


NPI Information

NPI: 1659412955
Provider Name: SERENITY HOUSE INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 14D1067378

Address:
891 SOUTH ROUTE 53
ADDISON, IL
ZIP 60101
Phone: (630) 620-6616
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SERENITY HOUSE INC is a substance abuse rehabilitation facility in Addison, IL. 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 1659412955. The provider is registered as an organization entity type.

The provider's business location address is:

891 SOUTH ROUTE 53
ADDISON, IL
ZIP 60101-220
Phone: (630) 620-6616
Fax: (630) 620-7924

The provider's authorized official is Gina Rybinski .
The authorized official title is Insurance Coordinator and has the following contact phone number (630) 620-6616.

The CLIA number assigned to this NPI record is 14D1067378 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 3/28/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityA06660002AILLINOISNo
2324500000XSubstance Abuse Rehabilitation FacilityA06660003AILLINOISNo
3324500000XSubstance Abuse Rehabilitation FacilityA06660004ILLINOISNo
4261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
5324500000XSubstance Abuse Rehabilitation FacilityA06660001AILLINOISYes

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: 5/5/2024

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