GRACE OF SERENITY LIVING, INC (NPI# 1114197969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114197969 |
| Entity Type | Organization |
| Organization Name | GRACE OF SERENITY LIVING, INC |
| Practice Address |
8340 N 86th Ln Peoria AZ 85345-2553 |
| Mailing Address |
2720 E Thomas Rd B-200 Phoenix AZ 85016-8299 |
| Practice Telephone | 6024414690 |
| Mailing Telephone | 6024414690 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | MS. TAMMY R MEADE (CEO) |
| Authorized Official Telephone | 6024414690 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | BH2333 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCS | 816803 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528184959 | Grace of Serenity Living, Inc | Community/Behavioral Health | 4620 N 16th St, A-101, Phoenix, AZ 85016-5121 | 2007-03-21 |
| Street Address |
8340 N 86TH LN |
| City | PEORIA |
| State | AZ |
| Zip Code | 85345-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245780964 | Angels' Safe Haven | Residential Treatment Facility, Emotionally Disturbed Children | 8340 N 86th Ln, Peoria, AZ 85345-2553 | 2016-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1578057378 | Marigold Home Care LLC | In Home Supportive Care | 8917 N 90th Ave, Peoria, AZ 85345 | 2018-06-15 |
| 1518341551 | Recovery Innovations, Inc | Respite Care | 11361 N 99th Avenue, Suite 107, Peoria, AZ 85345 | 2015-07-18 |
| 1952655110 | Pmc Pain Management Center Pllc | Clinic/Center | 8914 N.91 Ave, Peoria, AZ 85345 | 2012-11-08 |
| 1831462993 | Mary Kate Burdick | Veterinarian | 9960 N 91st Ave, Peoria, AZ 85345 | 2012-02-20 |
| 1144545120 | Lawrence William Wolfe | Pharmacist | 9043 W. Olive Ave., Fry's Food and Drug, Peoria, AZ 85345 | 2010-04-01 |
| 1306169917 | Katherine Thompson Hinkle | Pharmacist | 7455 West Cactus, Frys Food and Drug, Peoria, AZ 85345 | 2010-03-10 |
| 1033307715 | American Current Care of Arizona Pa | Clinic/Center | 7400 West Olive Avenue, Suite 1, Peoria, AZ 85345 | 2007-10-09 |
| 1184746802 | Assisted Living Concepts Inc | Assisted Living Facility | 10401 North 79th Avenue, Peoria, AZ 85345 | 2007-04-04 |
| Find all providers in zip 85345 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790166072 | Home Away From Home Behavioral Health Residential Facility Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9231 W Mountain View Rd, Peoria, AZ 85345-4306 | 2015-06-12 |
| 1629379359 | Peoria County Court Administration | Residential Treatment Facility, Emotionally Disturbed Children | 324 Main St Ste 215, Peoria, IL 61602-2334 | 2010-11-11 |
| 1841431632 | Humble House | Residential Treatment Facility, Emotionally Disturbed Children | 8572 W Palo Verde Ave, Peoria, AZ 85345-5354 | 2009-03-09 |
| 1891942785 | Catholic Charities of The Diocese of Peoria | Residential Treatment Facility, Emotionally Disturbed Children | 419 Ne Madison Ave, Peoria, IL 61603-3719 | 2008-08-21 |
| 1285880674 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 404 Ne Madison Ave, Peoria, IL 61603-3720 | 2008-08-18 |
| 1851557086 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 7225 W Plank Rd, Peoria, IL 61604-5252 | 2008-08-07 |
| 1578695482 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8731 N 83rd Dr, Peoria, AZ 85345-7941 | 2007-03-09 |
| 1861523961 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6726 W Cholla St, Peoria, AZ 85345-5850 | 2007-03-08 |
| 1730676024 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 7225 W Plank Rd, Peoria, IL 61604-5252 | 2018-04-23 |
| 1639666928 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 7225 W Plank Rd, Peoria, IL 61604-5252 | 2018-04-23 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.