Serene Journey Assisted Living Facility LLC.

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

SERENE JOURNEY ASSISTED LIVING FACILITY LLC.

Practice address

1111 Blalock Rd Apt 32
Houston, TX 77055-7426

Phone

(832) 449-6470

NPI assigned

May 1, 2017

Organization subpart

No

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

Authorized official

Name

Stacie Ann ShakirNPI 1356848063

Title

President & Ceo

Phone

(832) 449-6470

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacie Ann Shakir

  • Home Health Agency
  • Houston, TX
  • NPI 1356848063
  NPD Authorized official

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1871028530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BLALOCK RD APT 32",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557426",
            "telephone_number": "832-449-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BLALOCK RD APT 32",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557426",
            "telephone_number": "832-449-6470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9820 Memorial Dr Apt 87",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770243443",
            "country_code": "US",
            "telephone_number": "832-449-6470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENE JOURNEY ASSISTED LIVING FACILITY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "SHAKIR",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "832-449-6470"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ralph Serenio, APRN
• Serenique Health LLC

• Physical Disabilities Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Physical Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.