Serenity Gardens Rehab

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SERENITY GARDENS REHAB

Practice address

5830 Cohasset Way
San Jose, CA 95123-3710

Phone

(650) 520-9148

NPI assigned

Aug 12, 2016

Organization subpart

No

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

Authorized official

Name

Amy Dalli

Title

Chief Executive Officer

Phone

(650) 520-9148

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1376097923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 WISCONSIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072734",
            "telephone_number": "650-520-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 COHASSET WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233710",
            "telephone_number": "650-520-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY GARDENS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "DALLI",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "650-520-9148"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Sepulveda
• Catherine Gabrielle Seradilla
• Mohammad Seraj, BS , MA
• Erika Serame
• Serene Home Healthcare Inc.
• Seres Prime Healthcare
• Lauren Gray McCartha Serkis, MSCP
• Jhoselyn Serna Bernabe
• Stephanie Serna
• Dylon Serpa

• Substance Abuse Rehabilitation Facility in San Jose, CA
• Providers in San Jose, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.