Organization Active NPI

Serene Haven Living

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1568367944
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SERENE HAVEN LIVING
Practice address
15835 N 6TH PL
Phoenix, AZ 85022-3060
Phone
(602) 456-0041
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Manmohan Sugathan
Title
Owner
Phone
(602) 456-0041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

15835 N 6TH PL
Phoenix, AZ 85022-3060

Mailing address

5123 W Straight Arrow LN
Phoenix, AZ 85083-7356
Phone (602) 456-0041

NPI Registry JSON

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1568367944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 W STRAIGHT ARROW LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850837356",
            "telephone_number": "602-456-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15835 N 6TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223060",
            "telephone_number": "602-456-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HAVEN LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "SUGATHAN",
        "authorized_official_first_name": "MANMOHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-456-0041"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.