SERENITY KNOLLS INC. NPI 1831337534

NPI Information

  • NPI: 1831337534
  • Provider Name: SERENITY KNOLLS, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 05D2212182
  • Address: 145 TAMAL ROAD
    FOREST KNOLLS, CA
    ZIP 94933
  • Phone: (415) 488-0400

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NPI Details

SERENITY KNOLLS, INC. is a substance abuse rehabilitation facility in Forest Knolls, 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 KNOLLS, INC. NPI is 1831337534. The provider is registered as an organization entity type.

The provider's business location address is:

145 TAMAL ROAD
FOREST KNOLLS, CA
ZIP 94933
Phone: (415) 488-0400
Fax: (415) 488-1955

The provider's authorized official is Christopher Howard .
The authorized official title is Vp & Treasurer and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 05D2212182 - other - residential treatment ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2009 and was last updated on 10/15/2018.

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 Facility210011APCALIFORNIAYes

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: 3/30/2025

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