SERENITY LODGE, INC
NPI 1184914590
Substance Abuse Rehabilitation Facility in Lake Arrowhead, CA

Q: What is Serenity Lodge, Inc's NPI number?

The NPI number for Serenity Lodge, Inc is 1184914590. It was assigned to this organization in the NPPES registry on April 19, 2011.

Q: What is Serenity Lodge, Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since April 19, 2011

985 MEADOW BROOK RD, LAKE ARROWHEAD, CA 92352(909) 693-5127 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Serenity Lodge, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY LODGE, INC (NPI 1184914590) is a healthcare organization registered as a substance abuse rehabilitation facility in Lake Arrowhead, California and active in the NPI registry since April 2011. The organization lists Matthew Joseph Baldo, Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1184914590

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameSERENITY LODGE, INC

Location Address985 MEADOW BROOK RDLake Arrowhead, CA 92352

Mailing AddressPo Box 2895Lake Arrowhead, CA 92352-2895 · (888) 244-0898 · Fax (888) 509-3920

Phone(909) 693-5127

Organization SubpartNo

Authorized OfficialMatthew Joseph BaldoCompliance Manager · (909) 693-5127

Enumeration DateApril 19, 2011

Last NPPES UpdateMay 7, 2018

✔ NPI 1184914590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in CA · 360091AP

Definition

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.

985 MEADOW BROOK RD, Lake Arrowhead, CA 92352

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Lodge, Inc's NPI number?

The NPI number for Serenity Lodge, Inc is 1184914590. It was assigned to this organization in the NPPES registry on April 19, 2011.

Where is Serenity Lodge, Inc located?

Serenity Lodge, Inc is located at 985 Meadow Brook Rd, Lake Arrowhead, CA 92352. The listed phone number is (909) 693-5127.

What is Serenity Lodge, Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Serenity Lodge, Inc was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.