Provider Demographics
NPI:1336711449
Name:SERENIDAD HOSPICE CARE LLC
Entity type:Organization
Organization Name:SERENIDAD HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:TANYA
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-788-1043
Mailing Address - Street 1:904 DONNA RD
Mailing Address - Street 2:
Mailing Address - City:PALMVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:78572-7941
Mailing Address - Country:US
Mailing Address - Phone:956-638-5522
Mailing Address - Fax:
Practice Address - Street 1:904 DONNA RD
Practice Address - Street 2:
Practice Address - City:PALMVIEW
Practice Address - State:TX
Practice Address - Zip Code:78572-7941
Practice Address - Country:US
Practice Address - Phone:956-638-5522
Practice Address - Fax:956-435-0211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based