Organization Active NPI

Serenity Residential Homes LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1043130610
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SERENITY RESIDENTIAL HOMES LLC
Practice address
4815 W Crittenden LN
Phoenix, AZ 85031-3145
Phone
(480) 200-9183
Fax
(480) 383-6280
NPI assigned
Jul 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Saida Mohamed
Title
Owner
Phone
(480) 200-9183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

4815 W Crittenden LN
Phoenix, AZ 85031-3145

Mailing address

3722 E Orchid CT
Gilbert, AZ 85296-8268
Phone (480) 200-9183

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1043130610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 E ORCHID CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852968268",
            "telephone_number": "480-200-9183",
            "fax_number": "480-383-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 W CRITTENDEN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850313145",
            "telephone_number": "480-200-9183",
            "fax_number": "480-383-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY RESIDENTIAL HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SAIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-200-9183"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.