Serene Living Spaces LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SERENE LIVING SPACES LLC

Practice address

1039 E Loyola Dr
Tempe, AZ 85282-3812

Phone

(480) 766-8114

NPI assigned

Mar 11, 2020

Organization subpart

No

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

Authorized official

Name

Mr. John Sakuwaha

Title

Sole Proprietor

Phone

(480) 766-8114

Specialties & licenses 1

Addresses

Other names 1

• Serene Living Spaces Behavioral Health Doing business as

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1831724699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 E LOYOLA DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823812",
            "telephone_number": "480-766-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 E LOYOLA DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823812",
            "telephone_number": "480-766-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE LIVING SPACES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "SAKUWAHA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "480-766-8114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serene Living Spaces Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candice Sennett
• Gary L Septon, M.D.
• Sequelcare of Arizona
• Sequoia Wellness LLC
• Serene Health Center LLC
• Serenity Space LLC
• Marjorie A Sergeant, LPC
• Monaliza Setudehnia, MD
• Mychael A Seubert, ND
• Michael Alan Severn, CPHT

• Mental Illness Community Based Residential Treatment Facility in Tempe, AZ
• Providers in Tempe, 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 May 20, 2020; 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.