Provider Demographics
NPI:1720647183
Name:SERENITY SPRINGS LIMITED
Entity Type:Organization
Organization Name:SERENITY SPRINGS LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-300-2048
Mailing Address - Street 1:9850 BOLTON AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-3151
Mailing Address - Country:US
Mailing Address - Phone:951-300-2048
Mailing Address - Fax:951-300-2049
Practice Address - Street 1:9850 BOLTON AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3151
Practice Address - Country:US
Practice Address - Phone:951-300-2048
Practice Address - Fax:951-300-2049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251G00000XAgenciesHospice Care, Community Based