Provider Demographics
NPI:1508286758
Name:SERENITY PRIVATE CARE, LLC
Entity Type:Organization
Organization Name:SERENITY PRIVATE CARE, LLC
Other - Org Name:VISITING ANGELS OF THE RIO GRANDE VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:956-627-3873
Mailing Address - Street 1:1900 S JACKSON RD STE 6
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1589
Mailing Address - Country:US
Mailing Address - Phone:956-627-3873
Mailing Address - Fax:956-627-1347
Practice Address - Street 1:1900 S JACKSON RD STE 6
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1589
Practice Address - Country:US
Practice Address - Phone:956-627-3873
Practice Address - Fax:956-627-1347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-25
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care