Serenity Meadows Care Center Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SERENITY MEADOWS CARE CENTER CORPORATION

Doing business as

Serenity Meadows Care Center

Practice address

2300 Camp Dr
Apt 1103
Midland, TX 79701-2005

Phone

(682) 561-3889

Fax

(432) 756-2904

NPI assigned

Dec 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Teizo Devotnae Adkison, LVN

Title

Founder

Phone

(682) 561-3889

Specialties & licenses 1

Addresses

Other names 1

• Serenity Meadows Care Center Doing business as

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1639353881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CAMP DR",
            "address_2": "APT 1103",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797012005",
            "telephone_number": "682-561-3889",
            "fax_number": "432-756-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CAMP DR",
            "address_2": "APT 1103",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797012005",
            "telephone_number": "682-561-3889",
            "fax_number": "432-756-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MEADOWS CARE CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "ADKISON",
        "authorized_official_first_name": "TEIZO",
        "authorized_official_middle_name": "DEVOTNAE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "682-561-3889",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Meadows Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Richard LC Sevcik, CRNA
• Olleca Severson
• Harshad G Shah, MD,PA
• Neel Nitin Shah, MD
• Nidhi Girishchandra Shah, M.D.

• Skilled Nursing Facility in Midland, TX
• Providers in Midland, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.