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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Serenity Lodge, Inc

Substance Abuse Rehabilitation Facility in Lake Arrowhead, CA · enumerated 2018 · authorized official Matthew Baldo, Compliance Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043780109

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Serenity Lodge, Inc
Parent organization Serenity Lodge, Inc
Practice address 986 Meadow Brook Road, Lake Arrowhead, CA, 92352
Phone (909) 693-5127
Enumeration date Dec 3, 2018
Last updated in NPPES Dec 3, 2018

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Matthew Baldo
Title Compliance Manager
Phone (909) 693-5127

Other identifiers

Identifier Type State Issuer
360091AP Other CA STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Serenity Lodge, Inc?
Serenity Lodge, Inc is registered in NPPES as a Substance Abuse Rehabilitation Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-12-03.