Active NPI
Serenity Springs Hospice LLC
- Community Based Hospice Care Agency
- Houston, TX
National Provider Identifier
1083451694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SERENITY SPRINGS HOSPICE LLC
- Practice address
- 11821 East Fwy Ste 600B
Houston, TX 77029-1975 - Phone
- (281) 654-8660
- Fax
- (281) 654-8656
- NPI assigned
- Jul 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Wilmore
- Title
- Alternate Administrator
- Phone
- (832) 633-4709
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
11821 East Fwy Ste 600B
Houston, TX 77029-1975
Mailing address
11821 East Fwy Ste 600B
Houston, TX 77029-1975
Phone (281) 654-8660
Other names 1
- Serenity Springs Hospice LLC
National Provider Directory
National Provider DirectoryLocations
11821 East Fwy
Ste 600B
Houston, TX 77029
Phone (281) 654-8660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1083451694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11821 EAST FWY STE 600B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770291975",
"telephone_number": "281-654-8660",
"fax_number": "281-654-8656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11821 EAST FWY STE 600B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770291975",
"telephone_number": "281-654-8660",
"fax_number": "281-654-8656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY SPRINGS HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "WILMORE",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
"authorized_official_telephone_number": "832-633-4709"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Serenity Springs Hospice LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.