SERENITY PROVIDER SERVICES, LLC (NPI# 1962016626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962016626 |
| Entity Type | Organization |
| Organization Name | SERENITY PROVIDER SERVICES, LLC |
| Practice Address |
107 Calle Del Norte # 17 Laredo TX 78041-9104 |
| Mailing Address |
107 Calle Del Norte # 17107 Laredo TX 78041-9104 |
| Practice Telephone | 9564520202 |
| Mailing Telephone | 9567231234 |
| Mailing Fax Number | 9567255536 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | JOSE ANTONIO MARTINEZ (CFO) |
| Authorized Official Telephone | 9564520202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372500000X | Chore Provider | Nursing Service Related Providers |
| Street Address |
107 CALLE DEL NORTE # 17 |
| City | LAREDO |
| State | TX |
| Zip Code | 78041-9104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932769817 | Alejandra Alcaraz | Case Manager/Care Coordinator | 6548 Springfield Ave # 202, Laredo, TX 78041 | 2019-06-13 |
| 1003371238 | Karina A De Anda | Physical Therapy Assistant | 7109 N Bartlett Ave, Suite 109, Laredo, TX 78041 | 2019-02-01 |
| 1396200515 | Julissa Rebeca Vazquez | Physical Therapy Assistant | 7109 N Bartlett Ave., Suite 109, Laredo, TX 78041 | 2019-02-01 |
| 1982168720 | Alexander Garcia Madriaga | Physical Therapy Assistant | Regent Care Center, 7001 Mcpherson Avenue, Laredo, TX 78041 | 2019-01-25 |
| 1528538154 | Laredo Operator 2 Ltd. | Skilled Nursing Facility | 4301 North Bartlett Avenue, Laredo, TX 78041 | 2018-11-27 |
| 1639648488 | Lhkp Optometry Pllc | Optometrist | 5401 Mcpherson Rd Suite 10, Laredo, TX 78041 | 2018-11-21 |
| 1699244624 | Clear Choice Er, LLC | Clinic/Center | 7105 Bartlett Ave., Laredo, TX 78041 | 2018-11-20 |
| 1407337702 | Yvonne Denetre Cisneros | Speech-Language Pathologist | 1505 Calle Del Norte Ste 440-460, Laredo, TX 78041 | 2018-08-24 |
| 1811476765 | Christina Marie Dilley | Occupational Therapy Assistant | 4301 North Bartlett Ave., Laredo, TX 78041 | 2018-08-11 |
| 1023595386 | Motion Behavioral Health | Case Management | 6548 Springfield Ave Num 202, Laredo, TX 78041 | 2018-07-19 |
| Find all providers in zip 78041 | ||||
| Taxonomy Code | 372500000X |
| Grouping | Nursing Service Related Providers |
| Classification | Chore Provider |
| An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504301 | Janice Kelly | Chore Provider | 4423 Eaglewood Trail Dr, Fresno, TX 77545-9599 | 2020-09-28 |
| 1477162451 | Jennifer Chaghoury | Chore Provider | 4606 La Marquesa St, San Antonio, TX 78233 | 2020-07-27 |
| 1992322259 | Pebbles Jannell Tanaruno | Chore Provider | 600 University Oaks Blvd Apt J103, College Station, TX 77840-3472 | 2020-07-02 |
| 1073135745 | Nancy Concepcion | Chore Provider | 400 E Hospital Dr, Angleton, TX 77515-7751 | 2020-05-15 |
| 1235764846 | Manuel Sandoval | Chore Provider | 2639 El Indio Hwy Apt 5, Eagle Pass, TX 78852-5575 | 2020-03-04 |
| 1750914388 | Pamela Densie Ellis | Chore Provider | 1811 Rippling Water Ct, Sugar Land, TX 77479-6974 | 2020-02-21 |
| 1790315059 | Tracy Dione Adigun | Chore Provider | 2304 Oak Ln # 201-203, Grand Prairie, TX 75051-8812 | 2020-01-24 |
| 1992345862 | Roneisha Laquece Foster | Chore Provider | 618 1st St E Ste C, Humble, TX 77338-4639 | 2020-01-08 |
| 1932740404 | Betty Williams | Chore Provider | 2139 Lake Hills Dr, Kingwood, TX 77339-2332 | 2019-10-04 |
| 1528523107 | Jose Guadalupe Garcia | Chore Provider | 2432 Melba Ave, Mcallen, TX 78503-8907 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
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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.