Serenity Care Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

IFBH7647 Issued in AZ

Legal business name

SERENITY CARE CENTER, LLC

Practice address

13951 W Meeker Blvd
Sun City West, AZ 85375-4424

Phone

(602) 833-8438

Fax

(623) 533-5855

NPI assigned

Dec 23, 2015

Organization subpart

Yes

Parent organization

ARIZONA CARE MANAGEMENTAs reported in NPPES

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

Authorized official

Name

Paula Bean

Title

Chief Revenue Cycle Officer

Phone

(772) 247-1428

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1699130351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13951 W MEEKER BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754424",
            "telephone_number": "602-833-8438",
            "fax_number": "623-533-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA CARE MANAGEMENT",
        "enumeration_date": "2015-12-23",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CHIEF REVENUE CYCLE OFFICER",
        "authorized_official_telephone_number": "772-247-1428"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "IFBH7647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DOH",
            "identifier": "BH4989",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPARTMENT OF HEALTH SERVCIES",
            "identifier": "IFBH7647",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DOH",
            "identifier": "BH4988",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Schellenbaum II
• John E Schlicher, MD
• Lauren F Scott, NP
• Rodger Sears Sr., D.D.S.
• Jenine Kay Selander, M.S.SPEECH PATHOLOGY
• Sabrina Serrano, RBT
• Monasha Sharma, PA-C
• Michelle Sharman, RBT
• Sheridan Childrens Healthcare Services of Arizona, Inc.
• Cameron Shutack, OTR/L

• Substance Abuse Rehabilitation Facility in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.