Active NPI
Serenity Services
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1679877955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- BH3463
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.