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SERENITY LODGE, INC
NPI 1356057582
Substance Abuse Rehabilitation Facility in Lake Arrowhead, CA

Active since January 31, 2023
341 CA-173, LAKE ARROWHEAD, CA 92352(657) 304-0103 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2024, Jan 31, 2023 (2 updates tracked since 2023).

About Serenity Lodge, Inc NPPES

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

SERENITY LODGE, INC (NPI 1356057582) is a healthcare organization registered as a substance abuse rehabilitation facility in Lake Arrowhead, California and active in the NPI registry since January 2023. The organization lists Gilbert Yates, Contract Manager, as its authorized official.

NPPES Registry Identity

NPI1356057582
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSERENITY LODGE, INC
Location Address341 CA-173Lake Arrowhead, CA 92352
Mailing AddressPo Box 2895Lake Arrowhead, CA 92352-2895
Phone(657) 304-0103
Organization SubpartNo
Authorized OfficialGilbert YatesContract Manager · (877) 262-7803
Enumeration DateJanuary 31, 2023
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1356057582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
341 CA-173, 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 1356057582. It was assigned to this organization in the NPPES registry on January 31, 2023.

Where is Serenity Lodge, Inc located?

Serenity Lodge, Inc is located at 341 Ca-173, Lake Arrowhead, CA 92352. The listed phone number is (657) 304-0103.

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 October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.