NPIMap

Organization Active NPI

Serenity Streams

  • Assisted Living Facility
  • Mesquite, TX
National Provider Identifier
1154790244
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
3205826621 Issued in TX
Legal business name
SERENITY STREAMS
Practice address
1004 Kory Dr
Mesquite, TX 75149-6978
Phone
(214) 660-6484
NPI assigned
Sep 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Quinton Dreyfuss MiddletonNPI 1386012912
Title
Director
Phone
(214) 660-6484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 3205826621 TX Primary

Addresses

Primary practice location

1004 Kory Dr
Mesquite, TX 75149-6978

Mailing address

1004 Kory Dr
Mesquite, TX 75149-6978
Phone (214) 660-6484

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1154790244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 KORY DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496978",
            "telephone_number": "214-660-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 KORY DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496978",
            "telephone_number": "214-660-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY STREAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "QUINTON",
        "authorized_official_middle_name": "DREYFUSS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-660-6484"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "3205826621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.