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SERENITY CARE CENTER LLC NPI 1699130351


NPI Information

NPI: 1699130351
Provider Name: SERENITY CARE CENTER, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 03D2125818

Address:
13951 W MEEKER BLVD
SUN CITY WEST, AZ
ZIP 85375
Phone: (602) 833-8438
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SERENITY CARE CENTER, LLC is a substance abuse rehabilitation facility in Sun City West, AZ. 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 CARE CENTER, LLC NPI is 1699130351. The provider is registered as an organization entity type.

The provider's business location address is:

13951 W MEEKER BLVD
SUN CITY WEST, AZ
ZIP 85375-424
Phone: (602) 833-8438
Fax: (623) 533-5855

The provider's authorized official is Paula Bean .
The authorized official title is Chief Revenue Cycle Officer and has the following contact phone number (772) 247-1428.

The CLIA number assigned to this NPI record is 03D2125818 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/23/2015 and was last updated on 12/22/2016.


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 FacilityIFBH7647ARIZONAYes

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
1BH4988OTHERARIZONAAZ DOH
2IFBH7647OTHERARIZONAAZ DEPARTMENT OF HEALTH SERVCIES
3BH4989OTHERARIZONAAZ DOH

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.