SERENITY PARK TREATMENT CENTER (NPI# 1912465295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912465295 |
| Entity Type | Organization |
| Organization Name | SERENITY PARK TREATMENT CENTER |
| Practice Address |
2801 W Roosevelt Rd Little Rock AR 72204-5655 |
| Practice Telephone | 5013130066 |
| Practice Fax Number | 5013132044 |
| Mailing Telephone | 5013130066 |
| Mailing Fax Number | 5013132044 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |
| Authorized Official Name | TIERNEY JAMES (BUSINESS MANAGER) |
| Authorized Official Telephone | 5013130066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Serenity Park Recovery Center | Other Name - Individual/Organization |
| Street Address |
2801 W ROOSEVELT RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-5655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588892848 | Serenity House, Inc | Substance Abuse Rehabilitation Facility | 2801 W Roosevelt Rd, Little Rock, AR 72204-5655 | 2009-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609429778 | Coatc LLC | Substance Abuse Rehabilitation Facility | 1807 E Lawson Rd, Little Rock, AR 72210-5012 | 2019-07-18 |
| 1518494863 | Cscb Rehabilitation Management Group, LLC | Substance Abuse Rehabilitation Facility | 1 Lile Court, Suite 103, Little Rock, AR 77005 | 2017-05-17 |
| 1013468925 | Preferred Family Health Care, Inc | Substance Abuse Rehabilitation Facility | 9219 Sibley Hall Road, Little Rock, AR 72209-0000 | 2016-10-17 |
| 1851770564 | Better Community Development, Inc | Substance Abuse Rehabilitation Facility | 3604 W 12th St, Little Rock, AR 72204-2139 | 2015-05-27 |
| 1326438904 | Quality Living Center, Inc | Substance Abuse Rehabilitation Facility | 3925 Asher Ave, Little Rock, AR 72204-6355 | 2015-02-03 |
| 1588892848 | Serenity House, Inc | Substance Abuse Rehabilitation Facility | 2801 W Roosevelt Rd, Little Rock, AR 72204-5655 | 2009-06-25 |
| 1730238049 | Recovery Centers of Arkansas, Inc. | Substance Abuse Rehabilitation Facility | 9219 Sibley Hole Rd, Little Rock, AR 72209-8874 | 2007-01-09 |
| 1962999359 | Natural State Recovery Center LLC | Substance Abuse Rehabilitation Facility | 3600 Cantrell Rd, Little Rock, AR 72202-1893 | 2018-04-20 |
| 1326286386 | United Methodist Children's Home | Substance Abuse Rehabilitation Facility | 2002 S Fillmore St, Little Rock, AR 72204-4909 | 2009-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737762 | Retreat At Skyridge | Substance Abuse Rehabilitation Facility | 637 County Road 111, Eureka Springs, AR 72631-9030 | 2020-07-09 |
| 1255971610 | Nsrc Oakgrove LLC | Substance Abuse Rehabilitation Facility | 10025 Oakland Dr, North Little Rock, AR 72118-1942 | 2020-01-13 |
| 1295385359 | Atlas Healthcare Associates, LLC | Substance Abuse Rehabilitation Facility | 408 Office Park Dr Ste 2, Bryant, AR 72022-7536 | 2019-09-19 |
| 1730640558 | Teen Challenge Women's Ministries | Substance Abuse Rehabilitation Facility | 618 S Knoxville Ave, Russellville, AR 72801-6419 | 2019-03-26 |
| 1780114611 | Applegate Health Services, Inc | Substance Abuse Rehabilitation Facility | 403 W Oak St Ste 105, El Dorado, AR 71730-4573 | 2017-06-13 |
| 1174907463 | Southwest Arkansas Counseling & Mental Health Center, Inc | Substance Abuse Rehabilitation Facility | 7000 N Stateline, Texarkana, AR 71854-2536 | 2015-07-16 |
| 1932591187 | Phoenix Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 1224 Jersey St, Conway, AR 72032-4658 | 2015-02-25 |
| 1699179473 | Tracye Rauls | Substance Abuse Rehabilitation Facility | 1815 Chapel Hill Rd, Violet Hill, AR 72584 | 2014-10-22 |
| 1417382235 | Kari Colleen Sanderson | Substance Abuse Rehabilitation Facility | 202 N Oak St Ste C, Sheridan, AR 72150-2100 | 2013-09-11 |
| 1114365988 | Crowley's Ridge Development Council, Inc. | Substance Abuse Rehabilitation Facility | 6009 C W Post Rd, Jonesboro, AR 72401-8139 | 2013-06-13 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
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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.