Serenity Provider Services, LLC

Primary specialty

Chore ProviderTaxonomy code 372500000X

Legal business name

SERENITY PROVIDER SERVICES, LLC

Practice address

107 Calle del Norte # 17
Laredo, TX 78041-9104

Phone

(956) 452-0202

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Jose Antonio Martinez

Title

Cfo

Phone

(956) 452-0202

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1962016626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CALLE DEL NORTE # 17107",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780419104",
            "telephone_number": "956-723-1234",
            "fax_number": "956-725-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CALLE DEL NORTE # 17",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780419104",
            "telephone_number": "956-452-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PROVIDER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "956-452-0202"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chore Provider in Laredo, TX
• Providers in Laredo, TX by specialty
• Chore Provider in Texas

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