OrganizationActive
Serenity Lodge, Inc
NPI 1134699291 · Substance Abuse Rehabilitation Facility · Lake Arrowhead, CA
Provider details
- NPI number
- 1134699291
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Serenity Lodge, Inc
- Organization subpart
- Yes
- Authorized official
- Matthew Baldo, Compliance Manager(909) 693-5127
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
974 Meadow Brook Road
Lake Arrowhead, CA 92352
Phone: (909) 693-5127
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2895
Lake Arrowhead, CA 92352-2895
Registry dates
- Enumerated
- 2018-12-03
- Last updated
- 2018-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.