Provider Demographics
NPI:1568949311
Name:SERENITY HOSPICE AND PALLIATIVE CARE OF TEXAS, LLC
Entity Type:Organization
Organization Name:SERENITY HOSPICE AND PALLIATIVE CARE OF TEXAS, LLC
Other - Org Name:SERENITY HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-852-4009
Mailing Address - Street 1:928 WAVERLY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-6043
Mailing Address - Country:US
Mailing Address - Phone:210-852-4009
Mailing Address - Fax:210-874-6598
Practice Address - Street 1:928 WAVERLY AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-6043
Practice Address - Country:US
Practice Address - Phone:210-852-4009
Practice Address - Fax:210-874-6598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNAOtherHOSPICE