Serenity Light Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SERENITY LIGHT RECOVERY LLC

Practice address

1820 County Road 36
Angleton, TX 77515-8727

Phone

(844) 973-7364

NPI assigned

Jul 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Hugh Michael Ogburn, M.D.

Title

Executive Director

Phone

(832) 654-7280

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• William Matthew Buckmaster, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Angleton, TX
  • NPI 1962958280
  NPD (past)

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1457736340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 ONION CRK",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792546",
            "telephone_number": "844-973-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 COUNTY ROAD 36",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775158727",
            "telephone_number": "844-973-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY LIGHT RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "OGBURN",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "832-654-7280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Schill
• Jasmine Schilling, PT, DPT
• Matthew B Schooler, R.PH.
• Lela J Seay, SLP CCC
• Serenity Light of Texas LLC
• Susan W Sharpe, PTA
• Amanda Sheppard
• Fakeha Nayer Siddiqui, MD
• Yelena Sieffers
• Stephanie Simmang Fojhk, RN

• Substance Abuse Rehabilitation Facility in Angleton, TX
• Providers in Angleton, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.