Organization Active NPI

Serenitys Nest RTC Inc.

  • Developmentally Disabled Services Day Training Agency
  • Brookshire, TX
National Provider Identifier
1093071995
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Apr 4, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.