Provider Demographics
NPI:1407550122
Name:TOTAL SERENITY LIVING LLC
Entity Type:Organization
Organization Name:TOTAL SERENITY LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:UGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-517-2258
Mailing Address - Street 1:4455 ASHBERRY PINE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1592
Mailing Address - Country:US
Mailing Address - Phone:713-517-2258
Mailing Address - Fax:713-988-6247
Practice Address - Street 1:4455 ASHBERRY PINE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1592
Practice Address - Country:US
Practice Address - Phone:713-517-2258
Practice Address - Fax:713-988-6247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility