SERENITYBEHAVIORALHEALTH.LLC

Address: 15202 N Flamenco Dr, Phoenix, AZ 85053-4872
Phone: 5203026217

SERENITYBEHAVIORALHEALTH.LLC (NPI# 1972149078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972149078
Entity Type Organization
Organization Name SERENITYBEHAVIORALHEALTH.LLC
Practice Address 15202 N Flamenco Dr
Phoenix
AZ 85053-4872
Practice Telephone 5203026217
Practice Fax Number 6029074562
Mailing Telephone 5203026217
Mailing Fax Number 6029074562
Enumeration Date 2019-11-23
Last Update Date 2019-11-23
Authorized Official Name VICTOR NKEM (OWNER)
Authorized Official Telephone 5203026217
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Office Location

Street Address 15202 N FLAMENCO DR
City PHOENIX
State AZ
Zip Code 85053-4872

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871065615 Valley Addiction & Mental Health Services LLC Nurse Practitioner 16845 N. 29th Ave, Ste 1-211, Phoenix, AZ 85053 2018-12-18
1417439100 Amanda M Sherwin Dietitian, Registered 15640 N 28h Drive, Phoenix, AZ 85053 2018-08-30
1568970135 Sage Counseling, Inc. Community/Behavioral Health 2734 W Bell Rd., #1385 & 1390, Phoenix, AZ 85053 2018-01-17
1366966434 Penny L Reamer Registered Nurse 17624 N. 31st Ave., Phoenix, AZ 85053 2017-08-01
1043749302 Jacob Stephen Lawrence Occupational Therapy Assistant 3116 W. Hartford Dr., Phoenix, AZ 85053 2017-06-08
1770022923 Horizon Dental Group West Valley Dentist 4025 W. Bell Road, Suite 20, Phoenix, AZ 85053 2017-02-21
1235594938 Linda Thi Trinh Optometrist 16020 North 35th Ave Suite #2, Phoenix, AZ 85053 2015-12-22
1003230301 Continuum Group West, LLC. Clinic/Center 3710 W Greenway Rd, Suite 104, Phoenix, AZ 85053 2014-02-07
1831539410 Michelle Lea Byers Nurse Practitioner 17624 North 31st Ave, Phoenix, AZ 85053 2013-06-27
1437446580 Candace Faith Gershkovich Dentist 4235 W. Thunderbird Rd, Phoenix, AZ 85053 2011-07-08
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235736018 Happy Valley Community Services LLC Community Based Residential Treatment Facility, Mental Illness 1106 E Cochise Dr, Phoenix, AZ 85020-1550 2020-10-05
1639782956 Ascend Behavioral Health and Wellness,Llc Community Based Residential Treatment Facility, Mental Illness 3308 W Desert Vista Trl, Phoenix, AZ 85083-5874 2020-08-26
1588281604 Alliance Behavioral Care LLC Community Based Residential Treatment Facility, Mental Illness 1402 E Hoover Ave, Phoenix, AZ 85006-1737 2020-07-06
1174143846 Alpine Villa LLC Community Based Residential Treatment Facility, Mental Illness 14414 N 29th St, Phoenix, AZ 85032-5004 2020-04-22
1346860657 Semper Fidelis Behavioral Health & Counseling, LLC Community Based Residential Treatment Facility, Mental Illness 3606 E Baseline Rd Unit 288, Phoenix, AZ 85042-9617 2020-04-16
1548889793 Shea Home LLC Community Based Residential Treatment Facility, Mental Illness 10435 N 40th St, Phoenix, AZ 85028-4043 2020-04-08
1699394858 Acome Home LLC Community Based Residential Treatment Facility, Mental Illness 4509 E Acoma Dr, Phoenix, AZ 85032-4855 2020-04-08
1033748009 Optimum Care of Arizona LLC Community Based Residential Treatment Facility, Mental Illness 717 E Harwell Rd, Phoenix, AZ 85042-6655 2020-04-02
1043846561 Happy Haven Az LLC Community Based Residential Treatment Facility, Mental Illness 1110 W Hadley St, Phoenix, AZ 85007-3610 2020-03-16
1942835806 Mercy Favor and Grace Social Services Community Based Residential Treatment Facility, Mental Illness 9431 W Sheridan St, Phoenix, AZ 85037-4435 2020-03-10
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Competitor

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City PHOENIX
Zip Code 85053

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.