Healthcare Provider Details

I. General information

NPI: 1063661700
Provider Name (Legal Business Name): SERENITY HEALTH SERVICES L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2008
Last Update Date: 06/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5902 ANCIENT OAKS DR
HUMBLE TX
77346-2913
US

IV. Provider business mailing address

5902 ANCIENT OAKS DR
HUMBLE TX
77346-2913
US

V. Phone/Fax

Practice location:
  • Phone: 832-445-7198
  • Fax:
Mailing address:
  • Phone: 832-445-7198
  • Fax: 281-605-1332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. LAKEESHA S POSLEY
Title or Position: OWNER-ADMINISTRATOR
Credential: BS.,MA.,LNFA
Phone: 832-445-7198