Serenity Estates LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERENITY ESTATES LLC

Practice address

401 NW 4TH St
Mineral Wells, TX 76067-4814

Phone

(940) 325-3744

Fax

(940) 325-6200

NPI assigned

Feb 12, 2013

Last updated

Feb 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lori Shae Hopper, MSN, APRN, FNP-C

Title

Administrator

Phone

(325) 642-8645

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Bryant Stroud, MD

  • Dermatology Physician
  • Granbury, TX
  • NPI 1215928767
  NPD (past)

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1487993374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NW 4TH ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760674814",
            "telephone_number": "940-325-3744",
            "fax_number": "940-325-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NW 4TH ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760674814",
            "telephone_number": "940-325-3744",
            "fax_number": "940-325-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ESTATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "HOPPER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "SHAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-642-8645",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet L Rounsville, FNP-C
• Ryan Freemyer
• Ryan Freemyer MD PA
• Taryn Powell Sandvig
• Santo Isd
• Meng Seth, CRNA
• Simply Health Mobile Clinic PLLC (Simply Health Mobile Clinic)
• Jessica Caroline Smith, M.S. CCC- SLP
• Jeremy A Smyrl, DO
• Shawntay Sparks, ACNP-BC

• Assisted Living Facility in Mineral Wells, TX
• Providers in Mineral Wells, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.