Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SERENITY LODGE INC
NPI 1831014166
Clinic/Center - Rehabilitation, Substance Use Disorder in Blue Jay, CA

Q: What is Serenity Lodge Inc's NPI number?

The NPI number for Serenity Lodge Inc is 1831014166. It was assigned to this organization in the NPPES registry on August 13, 2026.

Q: What is Serenity Lodge Inc's specialty?

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

Active since August 13, 2026

27175 STATE HIGHWAY 189, UNIT A, BLUE JAY, CA 92317(949) 244-2279 Get Directions Write a Review

NPPES record added: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Serenity Lodge Inc NPPES

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

SERENITY LODGE INC (NPI 1831014166) is a healthcare organization registered as a rehabilitation, substance use disorder in Blue Jay, California and active in the NPI registry since August 2026. The organization lists Jesse Lee Kellert, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831014166

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameSERENITY LODGE INC

Location Address27175 STATE HIGHWAY 189, UNIT ABlue Jay, CA 92317

Mailing AddressPo Box 2895Lake Arrowhead, CA 92352-2895 · (949) 244-2279

Phone(949) 244-2279

Organization SubpartYes

Authorized OfficialJesse Lee KellertCeo · (949) 244-2279

Enumeration DateAugust 13, 2026

NPPES CertifiedAugust 5, 2026

✔ NPI 1831014166 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

27175 STATE HIGHWAY 189, Blue Jay, CA 92317

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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 1831014166. It was assigned to this organization in the NPPES registry on August 13, 2026.

Where is Serenity Lodge Inc located?

Serenity Lodge Inc is located at 27175 State Highway 189 Unit A, Blue Jay, CA 92317. The listed phone number is (949) 244-2279.

What is Serenity Lodge Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Serenity Lodge Inc was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.