SERENITY PARK RECOVERY CLINIC
NPI 1407407570
Clinic/Center - Rehabilitation, Substance Use Disorder in Little Rock, AR

Active since September 20, 2019CLIA 04D2178012 · Waiver
2711 W ROOSEVELT RD, LITTLE ROCK, AR 72204(501) 313-0066(501) 313-2059 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Serenity Park Recovery Clinic NPPES

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

SERENITY PARK RECOVERY CLINIC (NPI 1407407570) is a healthcare organization registered as a rehabilitation, substance use disorder in Little Rock, Arkansas and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through January 22, 2028 and lists Tara Tinnin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407407570
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSERENITY PARK RECOVERY CLINIC
Location Address2711 W ROOSEVELT RDLittle Rock, AR 72204-5668
Mailing Address2801 W Roosevelt RdLittle Rock, AR 72204-5655 · (501) 313-0066 · Fax (501) 313-2059
Fax(501) 313-2059
Organization SubpartYesParent: Serenity Park Treatment Center
Authorized OfficialTara TinninCeo · (501) 313-0066
Enumeration DateSeptember 20, 2019
NPI 1407407570 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
2711 W ROOSEVELT RD, Little Rock, AR 72204

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 04D2178012

Serenity Park Recovery Center · Little Rock, AR
Active · expires Jan 22, 2028
CLIA Number04D2178012
Laboratory TypeSud Treatment
Certificate Effective DateJanuary 23, 2026
Certificate Expiration DateJanuary 22, 2028
Laboratory DirectorKrystal Coleman
Laboratory Phone(501) 229-6100
Laboratory LocationSerenity Park Recovery Center2711 W Roosevelt Road, Little Rock, AR 72204
CLIA data matches this NPI record on: Address
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.

Community/Behavioral Health
2711 W ROOSEVELT RD
LITTLE ROCK, AR 72204

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 Park Recovery Clinic's NPI number?

The NPI number for Serenity Park Recovery Clinic is 1407407570. It was assigned to this organization in the NPPES registry on September 20, 2019.

Where is Serenity Park Recovery Clinic located?

Serenity Park Recovery Clinic is located at 2711 W Roosevelt Rd, Little Rock, AR 72204. The listed phone number is (501) 313-0066.

What is Serenity Park Recovery Clinic's specialty?

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

Does Serenity Park Recovery Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2178012) is associated with this NPI, valid through January 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Serenity Park Recovery Clinic was last updated on September 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.