Organization Active NPI

Serenity Services

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1679877955
Registry record updated Dec 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH3463 Issued in AZ
Legal business name
SERENITY SERVICES
Practice address
4038 W Purdue Ave
Phoenix, AZ 85051-1071
Phone
(480) 557-9406
NPI assigned
Dec 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2010

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

Authorized official

Name
Ms. Myrtle Garland
Title
Ceo
Phone
(480) 557-9406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH3463 AZ Primary

Addresses

Primary practice location

4038 W Purdue Ave
Phoenix, AZ 85051-1071

Mailing address

201 W Hermosa Dr Apt D108
Tempe, AZ 85282-5049
Phone (480) 557-9406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293753600000",
    "number": "1679877955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W HERMOSA DR APT D108",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825049",
            "telephone_number": "480-557-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 W PURDUE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511071",
            "telephone_number": "480-557-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-31",
        "last_updated": "2010-12-31",
        "status": "A",
        "authorized_official_last_name": "GARLAND",
        "authorized_official_first_name": "MYRTLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-557-9406",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH3463",
            "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 Dec 31, 2010; 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.