Provider Demographics
NPI:1932273703
Name:SERAPHIC SISTERS INC
Entity Type:Organization
Organization Name:SERAPHIC SISTERS INC
Other - Org Name:JOHN PAUL II NURSING HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:
Authorized Official - Last Name:BOCHENEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-583-9841
Mailing Address - Street 1:209 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:KENEDY
Mailing Address - State:TX
Mailing Address - Zip Code:78119-2757
Mailing Address - Country:US
Mailing Address - Phone:830-583-9841
Mailing Address - Fax:830-583-9458
Practice Address - Street 1:209 S 3RD ST
Practice Address - Street 2:
Practice Address - City:KENEDY
Practice Address - State:TX
Practice Address - Zip Code:78119-0359
Practice Address - Country:US
Practice Address - Phone:830-583-9841
Practice Address - Fax:830-583-9458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112943313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility