Serenity Community Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERENITY COMMUNITY SERVICES

Practice address

1008 E Jessamine St
Fort Worth, TX 76104-6510

Phone

(817) 235-2354

NPI assigned

Apr 5, 2024

Last updated

Apr 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pemba Frazier

Title

Manager

Phone

(817) 235-2354

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1891547410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 YARMOUTH LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084792",
            "telephone_number": "817-235-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E JESSAMINE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761046510",
            "telephone_number": "817-235-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "PEMBA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-235-2354"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Alejandra Sepulveda, MD
• Sequoia Anesthesiology, PA
• Sarah M Seraphin, AAS
• Slava A Serebro
• Serene Behavioral Integrative Health LLC
• Serenity Professional Counseling, PLLC
• Serenity Psychiatry of North Texas, PLLC
• Serenity Square L.L.C
• Sergio Sanchez Zambrano, MD, PA
• Grace Serr, LPA

• Assisted Living Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.