MEDICARE: SERENITY PAS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1093589616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY PAS LLC

Provider Business Mailing Address
First Line	:	5900 BALCONES DR STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4298
Country	:	US
Telephone Number	:	469-577-9595
Fax Number	:

Provider Business Practice Location Address
First Line	:	2413 WINDMILL DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-0823
Country	:	US
Telephone Number	:	469-577-9595
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TOLU KENT
Credential	:	OT
Telephone Number	:	469-577-9595

Provider Enumeration Date	:	11/14/2023
Last Update Date	:	01/09/2024

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Directions to “SERENITY PAS LLC ” Practice Location

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