Serenity Private Care, LLC

Key facts

NPI

1508286758

Entity type

Organization (NPI type 2)

Primary specialty

In Home Supportive Care Agency 253Z00000X

Legal business name

SERENITY PRIVATE CARE, LLC

Practice address

1900 S Jackson Rd Ste 6
McAllen, TX 78503-1589

Phone

(956) 627-3873

Fax

(956) 627-1347

NPI assigned

Apr 25, 2014

Organization subpart

No

Authorized official

Name

Mrs. Maria Slavin, LVN

Title

Administrator

Phone

(956) 627-3873

National Provider Directory

Specialties & licenses

Addresses

Other names

• Visiting Angels of the Rio Grande Valley Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 25, 2014.

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1508286758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S JACKSON RD STE 6",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031589",
            "telephone_number": "956-627-3873",
            "fax_number": "956-627-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S JACKSON RD STE 6",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031589",
            "telephone_number": "956-627-3873",
            "fax_number": "956-627-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PRIVATE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "SLAVIN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-627-3873",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of the Rio Grande Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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