SIMPLY SERENE DETOX AND RECOVERY CENTER LLC
NPI 1326838038
Clinic/Center - Rehabilitation, Substance Use Disorder in Mesa, AZ

Active since May 07, 2025CLIA 03D2330478 · Waiver
947 E IMPALA AVE, MESA, AZ 85204(602) 756-9798 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Simply Serene Detox And Recovery Center Llc NPPES

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

SIMPLY SERENE DETOX AND RECOVERY CENTER LLC (NPI 1326838038) is a healthcare organization registered as a rehabilitation, substance use disorder in Mesa, Arizona and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Mary Ndungu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326838038
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSIMPLY SERENE DETOX AND RECOVERY CENTER LLC
Location Address947 E IMPALA AVEMesa, AZ 85204-6619
Mailing Address947 E Impala AveMesa, AZ 85204-6619
Organization SubpartNo
Authorized OfficialMary NdunguCeo · (508) 615-7980
Enumeration DateMay 7, 2025
NPPES CertifiedMay 7, 2025
NPI 1326838038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
947 E IMPALA AVE, Mesa, AZ 85204

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2330478

Simply Serene Detox & Recovery Center · Mesa, AZ
Active · expires Sep 15, 2027
CLIA Number03D2330478
Laboratory TypeInpt Detox Recovery
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorMary Ndungu
Laboratory Phone(508) 615-7980
Laboratory LocationSimply Serene Detox & Recovery Center947 E Impala Ave, Mesa, AZ 85204
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
947 E IMPALA AVE
MESA, AZ 85204

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 Simply Serene Detox And Recovery Center LLC's NPI number?

The NPI number for Simply Serene Detox And Recovery Center LLC is 1326838038. It was assigned to this organization in the NPPES registry on May 7, 2025.

Where is Simply Serene Detox And Recovery Center LLC located?

Simply Serene Detox And Recovery Center LLC is located at 947 E Impala Ave, Mesa, AZ 85204. The listed phone number is (602) 756-9798.

What is Simply Serene Detox And Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Simply Serene Detox And Recovery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2330478) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Simply Serene Detox And Recovery Center LLC was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.