Sixteen Lac Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

012489 Issued in TX

Legal business name

SIXTEEN LAC INC

Practice address

4600 Ocean Dr Apt 405
Corpus Christi, TX 78412-2542

Phone

(361) 241-2244

Fax

(361) 241-7220

NPI assigned

Jul 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John P. Flores

Title

Authorized Offical

Phone

(361) 241-2244

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Serenity Home Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747918

Legal name

SIXTEEN LAC INC

Doing business as

SERENITY HOME CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 7, 2012

Last certification

Sep 28, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 19, 2006 in TX

Enrollment address

4600 Ocean Dr
Apt 405
Corpus Christi, TX 78412-2542

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• James Stefan Walker, M.D.

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1932218971

  Home health agency

  Care Compare affiliation
• Kendell R White, FNP-C

  • Family Nurse Practitioner
  • Alice, TX
  • NPI 1043711211

  Home health agency

  Care Compare affiliation

Listed as

Serenity Home CareCCN 747918

Ownership

Proprietary

Certified

Dec 7, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1073545869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 OCEAN DR APT 405",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122542",
            "telephone_number": "361-241-2244",
            "fax_number": "361-241-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 OCEAN DR APT 405",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122542",
            "telephone_number": "361-241-2244",
            "fax_number": "361-241-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIXTEEN LAC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "361-241-2244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDADS LICENSE",
            "identifier": "012489",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351823501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raghujit Singh, M.D.
• Kaitlyn Sinnreich, APRN-CNP
• Rosalie Sirianno, NP
• Carlos Sisniega, MD
• Jessica L Six, FNP
• Sixto G. Vargas
• Sizewise Rentals LLC
• SK Physical Medicine, PLLC
• Jessica Angel Skinner
• Sean K. Skinner, MSN, FNP

• All providers in Corpus Christi, TX
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.