Organization Active NPI

Serenitas LLC

  • Assisted Living Facility
  • Mesa, AZ
National Provider Identifier
1093357089
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SERENITAS LLC
Practice address
949 N Stapley Dr
Mesa, AZ 85203-5603
Phone
(480) 834-9898
NPI assigned
Oct 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Mr. Behrouz Barzani
Title
Co/Owner
Phone
(732) 766-1099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

949 N Stapley Dr
Mesa, AZ 85203-5603

Mailing address

24247 N 81St St
Scottsdale, AZ 85255-2808
Phone (732) 766-1099

Other names 1

  • Assisted Living of Mesa Doing business as

National Provider Directory

National Provider Directory

Locations

949 N Stapley Dr
Mesa, AZ 85203
Phone (480) 452-4409

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1093357089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24247 N 81ST ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552808",
            "telephone_number": "732-766-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 N STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035603",
            "telephone_number": "480-834-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "BARZANI",
        "authorized_official_first_name": "BEHROUZ",
        "authorized_official_title_or_position": "CO/OWNER",
        "authorized_official_telephone_number": "732-766-1099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Living of Mesa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.