Organization Active NPI

Serenity Falls Adult Day Care, Inc.

  • Adult Day Care Clinic/Center
  • Houston, TX
National Provider Identifier
1497383889
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on May 19, 2021

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

Authorized official

Name
Deshun StanleyNPI 1205216470
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)CodeLicenseStatePrimary
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.