Active NPI
Serenity Falls Adult Day Care, Inc.
- Adult Day Care Clinic/Center
- Houston, TX
National Provider Identifier
1497383889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- SERENITY FALLS ADULT DAY CARE, INC.
- Practice address
- 12805 Cullen Blvd Ste B
Houston, TX 77047-3760 - Phone
- (832) 524-5442
- NPI assigned
- Mar 31, 2020
- 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
- Deshun Stanley
- Title
- Ceo/Founder
- Phone
- (832) 524-5442
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
12805 Cullen Blvd Ste B
Houston, TX 77047-3760
Mailing address
13108 Grantham Ridge CT
Rosharon, TX 77583-2593
Phone (832) 524-5442
National Provider Directory
National Provider Directory- Tax ID family
- Serenity Falls Adult Day Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Rosharon, TX
- NPI 1538813753
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": "1585612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621382400000",
"number": "1497383889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13108 GRANTHAM RIDGE CT",
"city": "ROSHARON",
"state": "TX",
"postal_code": "775832593",
"telephone_number": "832-524-5442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12805 CULLEN BLVD STE B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770473760",
"telephone_number": "832-524-5442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY FALLS ADULT DAY CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-31",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A",
"authorized_official_last_name": "STANLEY",
"authorized_official_first_name": "DESHUN",
"authorized_official_title_or_position": "CEO/FOUNDER",
"authorized_official_telephone_number": "832-524-5442"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.