Provider Demographics
NPI:1215299698
Name:SERENITY SPECIAL SERVICES INC
Entity type:Organization
Organization Name:SERENITY SPECIAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MELENDEZ PENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-466-8480
Mailing Address - Street 1:PO BOX 3705
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78523-3705
Mailing Address - Country:US
Mailing Address - Phone:956-466-8480
Mailing Address - Fax:
Practice Address - Street 1:3670 CALLE NORTENA
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526
Practice Address - Country:US
Practice Address - Phone:956-466-8480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility