Serenity Park Recovery Clinic

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SERENITY PARK RECOVERY CLINIC

Practice address

2711 W Roosevelt Rd
Little Rock, AR 72204-5668

Phone

(501) 313-0066

Fax

(501) 313-2059

NPI assigned

Sep 20, 2019

Last updated

Sep 20, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

SERENITY PARK TREATMENT CENTERAs reported in NPPES

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

Authorized official

Name

Tara Tinnin

Title

Ceo

Phone

(501) 313-0066

Specialties & licenses 1

Addresses

Part of

Serenity Park Treatment Center

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Serenity Park Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Little Rock, AR
  • NPI 1912465295
  NPPES parent name

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1407407570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W ROOSEVELT RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722045655",
            "telephone_number": "501-313-0066",
            "fax_number": "501-313-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 W ROOSEVELT RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722045668",
            "telephone_number": "501-313-0066",
            "fax_number": "501-313-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PARK RECOVERY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERENITY PARK TREATMENT CENTER",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "TINNIN",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-313-0066"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Health and Wellness LLC
• Serenity Health and Wellness LLC
• Serenity Health Center for Women, PA
• Serenity House, Inc (Serenity Park)
• Serenity Park Operations LLC
• Serenity Park Treatment Center
• Serenity Supported Living LLC
• Macie Ann Serio, MD
• Anna K Serpente
• Gregg Serrano

• Substance Use Disorder Rehabilitation Clinic/Center in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.