Active NPI
Serenitys Nest RTC Inc.
- Developmentally Disabled Services Day Training Agency
- Brookshire, TX
National Provider Identifier
1093071995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- SERENITYS NEST RTC INC.
- Practice address
- 4822 Gassner Rd.
Brookshire, TX 77423 - Phone
- (832) 578-2574
- NPI assigned
- Apr 4, 2012
- 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
- Ms. Rosalyn Joy Jorden
- Title
- Ceo/Founder
- Phone
- (832) 578-2574
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Private Vehicle | 347C00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
4822 Gassner Rd.
Brookshire, TX 77423
Mailing address
PO Box 725
Brookshire, TX 77423-0725
Phone (832) 578-2574
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333497600000",
"number": "1093071995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 725",
"city": "BROOKSHIRE",
"state": "TX",
"postal_code": "774230725",
"telephone_number": "832-578-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4822 GASSNER RD.",
"city": "BROOKSHIRE",
"state": "TX",
"postal_code": "77423",
"telephone_number": "832-578-2574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITYS NEST RTC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-04",
"last_updated": "2012-04-04",
"status": "A",
"authorized_official_last_name": "JORDEN",
"authorized_official_first_name": "ROSALYN",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "CEO/FOUNDER",
"authorized_official_telephone_number": "832-578-2574",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookshire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.