Organization Active NPI

Serene Services, Inc.

Doing business as Serene Mobility Products

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1518050194
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SERENE SERVICES, INC.
Doing business as
Serene Mobility Products
Practice address
22505 N 19TH Ave
Ste 102
Phoenix, AZ 85027-2119
Phone
(623) 580-8500
Fax
(623) 580-8503
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Jeff Serene
Title
President
Phone
(623) 580-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

22505 N 19TH Ave
Ste 102
Phoenix, AZ 85027-2119

Mailing address

22505 N 19TH Ave
Suite 102
Phoenix, AZ 85027-2119
Phone (623) 580-8500

Other identifiers 1

IdentifierTypeStateIssuer
632746MedicaidAZ

Other names 1

  • Serene Mobility Products Doing business as

National Provider Directory

National Provider Directory

Locations

22505 N 19th Ave
Ste 102
Phoenix, AZ 85027
Phone (623) 580-8500

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1518050194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22505 N 19TH AVE",
            "address_2": "SUITE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272119",
            "telephone_number": "623-580-8500",
            "fax_number": "623-580-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22505 N 19TH AVE",
            "address_2": "STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272119",
            "telephone_number": "623-580-8500",
            "fax_number": "623-580-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "SERENE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-580-8500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "632746",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serene Mobility Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 23, 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.