NPIMap

Organization Active NPI

Serenityrecovery Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Memphis, TN
National Provider Identifier
1629131297
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SERENITYRECOVERY CENTERS, INC.
Practice address
1094 Poplar Ave
Memphis, TN 38105-4710
Phone
(901) 521-1131
Fax
(901) 528-1272
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Mr. Allen L. Richardson, LADAC
Title
Executive Director
Phone
(901) 521-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X TN Primary

Addresses

Primary practice location

1094 Poplar Ave
Memphis, TN 38105-4710

Mailing address

1094 Poplar Ave
Memphis, TN 38105-4710
Phone (901) 521-1131

National Provider Directory

National Provider Directory

Locations

1094 Poplar Ave
Memphis, TN 38105
Phone (901) 521-1131

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1629131297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054710",
            "telephone_number": "901-521-1131",
            "fax_number": "901-528-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054710",
            "telephone_number": "901-521-1131",
            "fax_number": "901-528-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITYRECOVERY CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-521-1131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.