NPIMap

Organization Active NPI

Serenity Springs

  • Mental Illness Community Based Residential Treatment Facility
  • Gilbert, AZ
National Provider Identifier
1992425375
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SERENITY SPRINGS
Practice address
3100 E Palo Verde St
Gilbert, AZ 85296-9423
Phone
(602) 423-0569
Fax
(480) 636-8190
NPI assigned
Aug 29, 2022
Organization subpart
Yes
Parent organization
CARRING DEVOTION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Mr. Rugabirwa RuhorimbereNPI 1437746724
Title
Executive Director
Phone
(602) 423-0569

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

3100 E Palo Verde St
Gilbert, AZ 85296-9423

Mailing address

2840 W Lamar Rd
Phoenix, AZ 85017-1263
Phone (602) 423-0569

Other names 1

  • SERENITY SPRINGS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carring Devotion LLC2 organizations share this tax ID, including this one
Part of
Carring Devotion LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1992425375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 W LAMAR RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171263",
            "telephone_number": "602-423-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E PALO VERDE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969423",
            "telephone_number": "602-423-0569",
            "fax_number": "480-636-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SPRINGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARRING DEVOTION LLC",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-28",
        "status": "A",
        "authorized_official_last_name": "RUHORIMBERE",
        "authorized_official_first_name": "RUGABIRWA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-423-0569",
        "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": "SERENITY SPRINGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.