MEDICARE: SOVEREIGN SERENITY CARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1801727250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOVEREIGN SERENITY CARE LLC

Provider Business Mailing Address
First Line	:	248 ADDIE ROY RD STE B204
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-4133
Country	:	US
Telephone Number	:	512-888-9105
Fax Number	:

Provider Business Practice Location Address
First Line	:	248 ADDIE ROY RD STE B204
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-4133
Country	:	US
Telephone Number	:	512-888-9105
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EMILY STRIBLING
Credential	:
Telephone Number	:	512-888-9105

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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Directions to “SOVEREIGN SERENITY CARE LLC ” Practice Location

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