Organization Active NPI

Serene Valley Care LLC

  • Assisted Living Facility
  • Peoria, AZ
National Provider Identifier
1427577238
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9724H Issued in AZ
Legal business name
SERENE VALLEY CARE LLC
Practice address
29751 N 119TH Lane
Peoria, AZ 85383
Phone
(480) 287-4727
NPI assigned
Sep 12, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Bernadette Cabaluna Freeman
Title
Ceo
Phone
(480) 287-4727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9724H AZ Primary

Addresses

Primary practice location

29751 N 119TH Lane
Peoria, AZ 85383

Mailing address

29751 N 119TH LN
Peoria, AZ 85383-4519
Phone (480) 287-4727

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427577238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29751 N 119TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834519",
            "telephone_number": "480-287-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29751 N 119TH LANE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85383",
            "telephone_number": "480-287-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE VALLEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "CABALUNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-287-4727"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9724H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.