SERENITY PARK
NPI 1588892848
Substance Abuse Rehabilitation Facility in Little Rock, AR

NPI Status: Active since June 25, 2009

Contact Information

2801 W ROOSEVELT RD
LITTLE ROCK, AR
ZIP 72204
Phone: (501) 663-7627
Fax: (501) 663-2859

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  • Organization
  • Substance Abuse Rehabilitation Facility

About SERENITY PARK

This page provides the complete NPI Profile along with additional information for Serenity Park, a provider established in Little Rock, Arkansas operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1588892848 assigned on June 2009. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Serenity Park. The authorized official of this NPI record is Mr. Larry A Gaines Icadc (Executive Director)

NPI
1588892848
Provider Legal Name
SERENITY HOUSE, INC
Other Organization Name
SERENITY PARK
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2801 W ROOSEVELT RD LITTLE ROCK, AR 72204
Location Phone
(501) 663-7627
Location Fax
(501) 663-2859
Mailing Address
2801 W ROOSEVELT RD LITTLE ROCK, AR 72204
Mailing Phone
(501) 663-7627
Mailing Fax
(501) 663-2859
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2009
Last Update Date
06-25-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License State
AR
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LARRY A GAINES ICADC

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(501) 663-7627

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D546312OTHER (01)ARARKANSAS DIVISION OF BEHAVIORAL HEALTH- OADAP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588892848
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168169488
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 6 + 9 + 4 + 8 + 8 + 24 = 82
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 82 = 88

The NPI number 1588892848 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

SERENITY PARK TREATMENT CENTER

Substance Abuse Rehabilitation Facility

2801 W ROOSEVELT RD
LITTLE ROCK, AR
ZIP 72204

(501) 313-0066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588892848, enumerated as an "organization" on June 25, 2009.

The provider is located at 2801 W ROOSEVELT RD LITTLE ROCK, AR 72204 and the phone number is (501) 663-7627.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.