Organization Active NPI

Serene Wings of Wellness Concierge Healthcare Services LLC

  • Home Health Registered Nurse
  • Houston, TX
National Provider Identifier
1801601273
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
SERENE WINGS OF WELLNESS CONCIERGE HEALTHCARE SERVICES LLC
Doing business as
Serene Wings Wellness
Practice address
3660 Barker Cypress Rd Ste 230
Houston, TX 77084-7532
Phone
(346) 412-9168
NPI assigned
Feb 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Ruth Bustos, RNNPI 1053811836
Title
Ceo/Director of Clinical Services
Phone
(346) 412-9168

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

3660 Barker Cypress Rd Ste 230
Houston, TX 77084-7532

Mailing address

3660 Barker Cypress Rd Ste 230
Houston, TX 77084-7532
Phone (346) 412-9168

Other identifiers 1

IdentifierTypeStateIssuer
1053811836MedicaidTX

Other names 1

  • Serene Wings Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

3660 Barker Cypress Rd
Ste 230
Houston, TX 77084
Phone (346) 412-9168

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": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1801601273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BARKER CYPRESS RD STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847532",
            "telephone_number": "346-412-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 BARKER CYPRESS RD STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847532",
            "telephone_number": "346-412-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE WINGS OF WELLNESS CONCIERGE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "BUSTOS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "CEO/DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "346-412-9168",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053811836",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serene Wings Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serene Wings Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 2025; 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.