Provider Demographics
NPI:1649221631
Name:CRISTELA FLORES SERENITY HOSPICE LLC DBA SERENITY HOSPICE
Entity Type:Organization
Organization Name:CRISTELA FLORES SERENITY HOSPICE LLC DBA SERENITY HOSPICE
Other - Org Name:SERENITY HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRISTELA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:817-395-8252
Mailing Address - Street 1:3108 MARYS LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-4326
Mailing Address - Country:US
Mailing Address - Phone:817-395-8252
Mailing Address - Fax:817-768-5087
Practice Address - Street 1:700 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2221
Practice Address - Country:US
Practice Address - Phone:817-881-2035
Practice Address - Fax:817-881-2494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based