SERENITY EMS LLC (NPI# 1215278460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215278460 |
| Entity Type | Organization |
| Organization Name | SERENITY EMS LLC |
| Other Organization Name | TEXAS STAR AMBULANCE |
| Practice Address |
11895 Forestgate Dr Dallas TX 75243-5414 |
| Mailing Address |
Po Box 550669 Dallas TX 75355-0669 |
| Practice Telephone | 2145701781 |
| Practice Fax Number | 2145701783 |
| Mailing Telephone | 2145701781 |
| Mailing Fax Number | 2145701783 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | MR. BRYAN D PHILLIPS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2148505884 |
| Authorized Official Credential | LICENSED PARAMED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1000889 | TX | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 341380901 | 05 |
| Other Name | Type Code |
|---|---|
| Texas Star Ambulance | Doing Business As Name - Organization |
| Street Address |
11895 FORESTGATE DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-5414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812714 | Sagrada Ambulance LLC | Ambulance | 300 W I Pkwy # 203, Dallas, GA 30132-5079 | 2020-08-21 |
| 1285069484 | Compass Ambulance Services LLC | Ambulance | 5555 Apollo Dr, Dallas, TX 75237-4729 | 2013-09-06 |
| 1396177754 | Quality Care 1 Ems Inc | Ambulance | 8787 N Stemmons Fwy, Dallas, TX 75247-3718 | 2013-08-07 |
| 1396019196 | H&e Health Services Inc | Ambulance | 13610 Midway Rd Ste 260, Dallas, TX 75244-4347 | 2012-02-27 |
| 1164706156 | Burco Ems, Inc | Ambulance | 122 Bermuda Ct, Dallas, GA 30157-4613 | 2011-10-08 |
| 1174820054 | Davenbrook, LLC | Ambulance | 10703 Plano Rd Ste 300, Dallas, TX 75238-1385 | 2011-02-11 |
| 1487957387 | Life-force Ambulance, Inc. | Ambulance | 361 W Memorial Dr, Dallas, GA 30132-4136 | 2010-12-15 |
| 1558674895 | Life-force Ambulance, Inc | Ambulance | 301 W I Pkwy, Suite D, Dallas, GA 30132-5066 | 2010-07-15 |
| 1164655023 | Republic Ambulance Services | Ambulance | 10455 N Central Expwy Ste 109-253, Dallas, TX 75231 | 2009-08-26 |
| 1932353562 | Sylla Corporation | Ambulance | 10723 Plano Rd, Ste 400, Dallas, TX 75238-5349 | 2008-11-10 |
| Find all providers in DALLAS | ||||
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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.