Active NPI
Aserene Healthcare Services,LLC
- Community Based Hospice Care Agency
- Stafford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 016522
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shenice Ferguson, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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.
- Ownership
- For-Profit
- Certified
- Sep 3, 2016
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alton Ferguson | Corporate Officer | Dec 1, 2014 | |
| Corporate Director | Dec 1, 2014 | ||
| W-2 Managing Employee | Dec 1, 2014 | ||
| Operational/Managerial Control | Dec 1, 2014 | ||
| Shenice C Ferguson | 5% Or Greater Direct Ownership Interest | Jul 23, 2014 | 100% |
| Corporate Director | Jun 21, 2014 | 100% | |
| W-2 Managing Employee | Oct 1, 2014 | ||
| Operational/Managerial Control | Jun 21, 2014 | 100% | |
| Duc (Steve) Le | Contracted Managing Employee | 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.
-
- Family Medicine Physician
- Cleveland, TX
- NPI 1083829568
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nursing Home Administrator
- Richmond, TX
- NPI 1003227661
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.