Serge Tabaro

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Practice address

3593 W Goldmine Mountain Dr
San Tan Valley, AZ 85144-6592

Phone

(480) 828-0578

NPI assigned

Dec 12, 2025

Last updated

Dec 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Heights Amethyst LLC

  • Mental Illness Community Based Residential Treatment Facility
  • San Tan Valley, AZ
  • NPI 1770412744

  Community Based Residential Treatment Facility, Mental Illness

  NPD Authorized official
• New Heights Health Services LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Queen Creek, AZ
  • NPI 1770254021

  Community Based Residential Treatment Facility, Mental Illness

  NPD Authorized official
• New Heights QC Health Services LLC

  • In Home Supportive Care Agency
  • San Tan Valley, AZ
  • NPI 1285455394
  NPD Authorized official

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1679437826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3593 W GOLDMINE MOUNTAIN DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851446592",
            "telephone_number": "480-828-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3593 W GOLDMINE MOUNTAIN DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851446592",
            "telephone_number": "480-828-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABARO",
        "first_name": "SERGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Nelson Sutton, FNP
• Donald Todd Swain, DO
• Swan Therapy Group LLC
• Stefani Lee Swanson
• Sweet Angels Behavioral Health LLC
• Kerry Taylor, OTR-L
• Patricia L. Taylor, LPC
• Haylee Madison Tenpenny
• The Ark Haven
• The Bark Homes LLC

• Mental Illness Community Based Residential Treatment Facility in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.