SERENITY LODGE, INC – NPI #1134699291
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.

SERENITY LODGE, INC is a substance abuse rehabilitation facility located in LAKE ARROWHEAD, CA. NPPES has assigned the NPI number 1134699291 to SERENITY LODGE, INC on December 03, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SERENITY LODGE, INC below.

NPI Profile for
SERENITY LODGE, INC

NPI Number
1134699291
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SERENITY LODGE, INC
Primary location
974 MEADOW BROOK ROAD
LAKE ARROWHEAD, CA 92352
Phone: (909) 693-5127 Fax:
Mailing address
PO BOX 2895
LAKE ARROWHEAD, CA 92352-2895
Phone: (909) 693-5127 Fax:
Organization Subpart
Yes - SERENITY LODGE, INC is subpart of another organization.
Authorized Official
MATTHEW BALDO
COMPLIANCE MANAGER
Phone: (909) 693-5127
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.