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SERENITY LODGE, INC
NPI 1629567573
Substance Abuse Rehabilitation Facility in Lake Arrowhead, CA

Active since May 07, 2018
1032 CEDAR LANE, LAKE ARROWHEAD, CA 92352(909) 693-5127 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Serenity Lodge, Inc NPPES

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

SERENITY LODGE, INC (NPI 1629567573) is a healthcare organization registered as a substance abuse rehabilitation facility in Lake Arrowhead, California and active in the NPI registry since May 2018. The organization lists Matthew Joseph Baldo, Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1629567573
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSERENITY LODGE, INC
Location Address1032 CEDAR LANELake Arrowhead, CA 92352
Mailing AddressPo Box 2895Lake Arrowhead, CA 92352-2895 · (909) 693-5127
Phone(909) 693-5127
Organization SubpartYes
Authorized OfficialMatthew Joseph BaldoCompliance Manager · (909) 693-5127
Enumeration DateMay 7, 2018
✔ NPI 1629567573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 360091AP
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.
1032 CEDAR LANE, 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 1629567573. It was assigned to this organization in the NPPES registry on May 7, 2018.

Where is Serenity Lodge, Inc located?

Serenity Lodge, Inc is located at 1032 Cedar Lane, Lake Arrowhead, CA 92352. The listed phone number is (909) 693-5127.

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 May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.