Serenity Space LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERENITY SPACE LLC

Practice address

2045 S College Ave
Tempe, AZ 85282-2250

Phone

(520) 300-1352

NPI assigned

Sep 1, 2022

Last updated

Sep 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Estella Miller

Title

Owner

Phone

(520) 300-1352

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1417677097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S COLLEGE AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822250",
            "telephone_number": "520-300-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S COLLEGE AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822250",
            "telephone_number": "520-300-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ESTELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-300-1352"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary L Septon, M.D.
• Sequelcare of Arizona
• Sequoia Wellness LLC
• Serene Health Center LLC
• Serene Living Spaces LLC (Serene Living Spaces Behavioral Health)
• Marjorie A Sergeant, LPC
• Monaliza Setudehnia, MD
• Mychael A Seubert, ND
• Michael Alan Severn, CPHT
• Roger B Seymann, M.D.

• Assisted Living Facility in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.