MEDICARE: CRISTELA FLORES SERENITY HOSPICE LLC DBA SERENITY HOSPICE

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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1649221631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRISTELA FLORES SERENITY HOSPICE LLC DBA SERENITY HOSPICE

Provider Business Mailing Address
First Line	:	3108 MARYS LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-4326
Country	:	US
Telephone Number	:	817-395-8252
Fax Number	:	817-768-5087

Provider Business Practice Location Address
First Line	:	700 PENNSYLVANIA AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2221
Country	:	US
Telephone Number	:	817-881-2035
Fax Number	:	817-881-2494

Authorized Official
Title or Position	:	CEO
Name	:	CRISTELA FLORES
Credential	:	LVN
Telephone Number	:	817-395-8252

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	10/24/2023

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