SERENITY RESIDENTIAL HOMES, LLC (NPI# 1508488495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508488495 |
| Entity Type | Organization |
| Organization Name | SERENITY RESIDENTIAL HOMES, LLC |
| Practice Address |
3722 E Orchid Ct Gilbert AZ 85296-8268 |
| Mailing Address |
3100 W Ray Rd Ste 201 Chandler AZ 85226-2472 |
| Practice Telephone | 4802009183 |
| Practice Fax Number | 4802075977 |
| Mailing Telephone | 4802009183 |
| Mailing Fax Number | 4802075977 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | SAIDA MOHAMED (OWNER) |
| Authorized Official Telephone | 4802009183 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BEHAVIORAL HEALTH RESIDENTIAL FACILITY | BH5593 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387490 | Serenity Residential Homes, LLC | Community Based Residential Treatment Facility, Mental Illness | 101 W Hackberry Dr, Chandler, AZ 85248-4012 | 2020-05-13 |
| Street Address |
3722 E ORCHID CT |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-8268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699239160 | Saida Mohamed | Community Based Residential Treatment Facility, Mental Illness | 3722 E Orchid Ct, Gilbert, AZ 85296-8268 | 2019-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284531 | Brain Solutions Pllc | Community Based Residential Treatment Facility, Mental Illness | 4555 S Maverick Ct, Gilbert, AZ 85297-9532 | 2020-08-05 |
| 1295353019 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 2840 S Chaparral Blvd, Gilbert, AZ 85295-7675 | 2020-07-08 |
| 1487295671 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 3447 E Dublin St, Gilbert, AZ 85295-3509 | 2019-09-30 |
| 1336605989 | Alliance Behavioral Care LLC | Community Based Residential Treatment Facility, Mental Illness | 1101 E Goldcrest St, Gilbert, AZ 85297-3128 | 2019-02-19 |
| 1699239160 | Saida Mohamed | Community Based Residential Treatment Facility, Mental Illness | 3722 E Orchid Ct, Gilbert, AZ 85296-8268 | 2019-01-29 |
| 1679092506 | Eureka Imperial Residence 3 | Community Based Residential Treatment Facility, Mental Illness | 1080 E Clifton Ave, Gilbert, AZ 85295-1135 | 2017-09-12 |
| 1912424698 | Richlin Regal Residency | Community Based Residential Treatment Facility, Mental Illness | 2864 E Bellerive Dr, Gilbert, AZ 85298-1001 | 2017-08-24 |
| 1265880090 | Richlin Regal Residency | Community Based Residential Treatment Facility, Mental Illness | 7872 S Abbey Ln, Gilbert, AZ 85298-7449 | 2016-06-02 |
| 1508212580 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 3030 E Sports Court, Gilbert, AZ 85298 | 2016-05-10 |
| 1932555810 | Better Horizons LLC | Community Based Residential Treatment Facility, Mental Illness | 3800 E Lafayette Ave, Gilbert, AZ 85298-9130 | 2016-05-10 |
| Find all providers in GILBERT | ||||
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| 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.