Organization Active NPI

New Heights Amethyst LLC

  • Mental Illness Community Based Residential Treatment Facility
  • San Tan Valley, AZ
National Provider Identifier
1770412744
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
NEW HEIGHTS AMETHYST LLC
Practice address
3953 W Amethyst TRL
San Tan Valley, AZ 85144-3882
Phone
(480) 828-0578
NPI assigned
May 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Serge TabaroNPI 1679437826
Title
Administrator
Phone
(480) 828-0578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3953 W Amethyst TRL
San Tan Valley, AZ 85144-3882

Mailing address

3953 W Amethyst TRL
San Tan Valley, AZ 85144-3882
Phone (480) 828-0578

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1770412744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3953 W AMETHYST TRL",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851443882",
            "telephone_number": "480-828-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3953 W AMETHYST TRL",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851443882",
            "telephone_number": "480-828-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HEIGHTS AMETHYST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "TABARO",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-828-0578"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.