Healthcare Provider Details

I. General information

NPI: 1285385625
Provider Name (Legal Business Name): SERAPHIC HEARTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5010 MOUNTAIN MAPLE TRL
ROSENBERG TX
77471-1569
US

IV. Provider business mailing address

5010 MOUNTAIN MAPLE TRL
ROSENBERG TX
77471-1569
US

V. Phone/Fax

Practice location:
  • Phone: 832-449-2971
  • Fax: 832-847-4787
Mailing address:
  • Phone: 832-449-2971
  • Fax: 832-847-4787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CORINTHIA LOUISE WILLIAMS
Title or Position: EXECUTIVE DIRECTOR
Credential: RN
Phone: 832-449-2971