SERENITY PARK RECOVERY CLINIC
NPI 1407407570
Clinic/Center - Rehabilitation, Substance Use Disorder in Little Rock, AR
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
Specialties & Licenses
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, AROther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.