Provider Demographics
NPI:1932827409
Name:CENTRAL TEXAS SERENITY CAREGIVERS LLC
Entity Type:Organization
Organization Name:CENTRAL TEXAS SERENITY CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-247-2864
Mailing Address - Street 1:PO BOX 733
Mailing Address - Street 2:
Mailing Address - City:KEMPER
Mailing Address - State:TX
Mailing Address - Zip Code:76539
Mailing Address - Country:US
Mailing Address - Phone:254-247-2864
Mailing Address - Fax:
Practice Address - Street 1:811 PR 3090
Practice Address - Street 2:
Practice Address - City:LAMPASAS
Practice Address - State:TX
Practice Address - Zip Code:76550
Practice Address - Country:US
Practice Address - Phone:254-247-2864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty