OrganizationActive
Serenity Lodge, Inc
NPI 1043916273 · Substance Abuse Rehabilitation Facility · Lake Arrowhead, CA
Provider details
- NPI number
- 1043916273
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gilbert Yates, Contract Manager(877) 262-7803
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
345 Ca-173
Lake Arrowhead, CA 92352
Phone: (657) 304-0103
Street-level locationGet directions
Mailing address
Po Box 2895
Lake Arrowhead, CA 92352-2895
Registry dates
- Enumerated
- 2023-01-31
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.