Provider Demographics
NPI:1720227671
Name:SERENE RIVER LLC
Entity Type:Organization
Organization Name:SERENE RIVER LLC
Other - Org Name:SERENE VALLEY HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:TOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-279-1329
Mailing Address - Street 1:3421 W BUSINESS HIGHWAY 83 STE 7
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-8213
Mailing Address - Country:US
Mailing Address - Phone:956-994-9707
Mailing Address - Fax:956-994-9717
Practice Address - Street 1:3421 W BUSINESS HIGHWAY 83 STE 7
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-8213
Practice Address - Country:US
Practice Address - Phone:956-994-9707
Practice Address - Fax:956-994-9717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health