Organization Active NPI

Aserene Healthcare Services,LLC

  • Community Based Hospice Care Agency
  • Stafford, TX
National Provider Identifier
1174909758
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
016522 Issued in TX
Legal business name
ASERENE HEALTHCARE SERVICES,LLC
Practice address
10701 Corporate Dr Ste 391
Stafford, TX 77477-4036
Phone
(832) 532-7953
Fax
(281) 302-5056
NPI assigned
Aug 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Mrs. Shenice Ferguson, RNNPI 1003227661
Title
Administrator/Owner
Phone
(832) 971-8743

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X
Community Based Hospice Care Agency 251G00000X 016522 TX Primary
Community Based Hospice Care Agency 251G00000X
Respite Care 385H00000X

Addresses

Primary practice location

10701 Corporate Dr Ste 391
Stafford, TX 77477-4036

Mailing address

10701 Corporate Dr Ste 391
Stafford, TX 77477-4036
Phone (832) 532-7953

Other names 1

  • Serenity Hospice Care Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150904002201 TX Part A Provider - Hospice 2466768429 Practice locations: Stafford, TX

Hospice certification: CCN 741633

Legal name
ASERENE HEALTHCARE SERVICES,LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 3, 2016
Last certification
Jul 12, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jul 23, 2014 in TX
Enrollment address
10701 Corporate Dr
Ste 391a
Stafford, TX 77477-4036

Care Compare: Hospice

Medicare Care Compare
Listed as
Aserene Healthcare Services, LLC.CCN 741633
Ownership
For-Profit
Certified
Sep 3, 2016
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

10701 Corporate Dr
Ste 391A
Stafford, TX 77477
Phone (832) 532-7953

4434 Bluebonnet Dr
Ste 159
Stafford, TX 77477

10707 Corporate Dr
Ste 201
Stafford, TX 77477

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Alton Ferguson Individual Corporate OfficerCeo Dec 1, 2014
Corporate DirectorPresident Dec 1, 2014
W-2 Managing EmployeeAdmin Dec 1, 2014
Operational/Managerial ControlAdmin President Dec 1, 2014
Shenice C Ferguson Individual 5% Or Greater Direct Ownership Interest Jul 23, 2014 100%
Corporate DirectorDirector Admin Jun 21, 2014 100%
W-2 Managing EmployeeAd;Admin Supervising Oct 1, 2014
Operational/Managerial Control Jun 21, 2014 100%
Duc (Steve) Le Individual Contracted Managing EmployeeMD; Sep 1, 2024 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1174909758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 CORPORATE DR STE 391",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774036",
            "telephone_number": "832-532-7953",
            "fax_number": "281-302-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 CORPORATE DR STE 391",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774036",
            "telephone_number": "832-532-7953",
            "fax_number": "281-302-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASERENE HEALTHCARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "SHENICE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "832-971-8743",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "016522",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Hospice Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Serenity Hospice Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.