Active NPI
Serene Services, Inc.
Doing business as Serene Mobility Products
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
National Provider Identifier
1518050194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 632746 | Medicaid | AZ |
Other names 1
- Serene Mobility Products
National Provider Directory
National Provider DirectoryLocations
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
- Samson Gary Serbin, M.D.
- Francis Reynold Serdenia, PMHNP-BC
- Velvet Jean Serena, PTA
- Serene Haven Estates LLC (Serene Haven Estates)
- Serene Psychiatry LLC.
- Serene Wellness Center LLC
- Serenity Anesthesia LLC
- Serenity Behavioral Health and Wellness Inc
- Serenity Behavioral Home LLC
- Serenity Health Clinic LLC
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.