Serenity Partners, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

339899-97 Issued in OR

Legal business name

SERENITY PARTNERS, LLC

Practice address

263 W Exchange St
Astoria, OR 97103-6142

Phone

(503) 325-3000

Fax

(503) 325-8927

NPI assigned

Mar 27, 2008

Last updated

Mar 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Larry James Peterson

Title

Ceo

Phone

(503) 325-3000

Specialties & licenses 1

Addresses

Tax ID family

Serenity Partners LLC Dba Serenity by the Sea2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Serenity Partners, LLC Dba Serenity by the Sea

  • Substance Abuse Rehabilitation Facility
  • Astoria, OR
  • NPI 1417043373
  NPD tax ID

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1932371226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 W EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036142",
            "telephone_number": "503-325-3000",
            "fax_number": "503-325-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 W EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036142",
            "telephone_number": "503-325-3000",
            "fax_number": "503-325-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-325-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OR",
            "license": "339899-97",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Athen Schurman, IDHS
• Scott Aaron Smith DDS, LLC
• Steven Charles Scruggs, O.D.
• Barry Kim Sears, D.C.
• Rachel Lynn Sechler, DDS
• Serenity Partners, LLC Dba Serenity by the Sea
• Jeremiah Shakespear, DDS
• Julia Kathaleen Shankle, PA-C
• Daniel Shapiro
• Leah Sharpe, AA, CADC I

• Substance Abuse Rehabilitation Facility in Astoria, OR
• Providers in Astoria, OR by specialty
• Substance Abuse Rehabilitation Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.