Serenity Square L.L.C

LBN: Serenity Square L.L.C
Serenity Square L.L.C is an health care organization with primary practice located at 1121 Kielder Cir , Ft. Worth TX 76134. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Serenity Square L.L.C can be contacted via phone (817) 877-7466, or through Walker, Awndrea via phone (817) 877-7466.

Contact Information

Primary practice address
1121 Kielder Cir Ft. Worth TX 76134
Phone: (817) 877-7466
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walker, Awndrea
Phone: (817) 877-7466

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1013439686
LBN Legal business name Serenity Square L.L.C
DBA Doing business as
Authorized official Walker, Awndrea
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2017
Last updated Jun 16th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013439686 NPPES
Texas MEDICAID 14601517

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