NPIMap

Organization Active NPI

Grace of Serenity Living

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1497925242
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH2942 Issued in AZ
Legal business name
GRACE OF SERENITY LIVING
Practice address
6620 S 26TH Dr
Phoenix, AZ 85041-5366
Phone
(602) 441-4690
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Ms. Tammy R Meade
Title
Ceo
Phone
(602) 441-4690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH2942 AZ Primary

Addresses

Primary practice location

6620 S 26TH Dr
Phoenix, AZ 85041-5366

Mailing address

2720 E Thomas Rd Ste 200B
Phoenix, AZ 85016-8242
Phone (602) 441-4690

Other identifiers 1

IdentifierTypeStateIssuer
911695OtherAZAHCCS

National Provider Directory

National Provider Directory
Tax ID family
Grace of Serenity Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1497925242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 E THOMAS RD STE 200B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168242",
            "telephone_number": "602-441-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 S 26TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850415366",
            "telephone_number": "602-441-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE OF SERENITY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "MEADE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-441-4690",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH2942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCS",
            "identifier": "911695",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.