SERENITY MEADOWS CARE CENTER CORPORATION (NPI# 1639353881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639353881 |
| Entity Type | Organization |
| Organization Name | SERENITY MEADOWS CARE CENTER CORPORATION |
| Other Organization Name | SERENITY MEADOWS CARE CENTER |
| Practice Address |
2300 Camp Dr Apt 1103 Midland TX 79701-2005 |
| Practice Telephone | 6825613889 |
| Practice Fax Number | 4327562904 |
| Mailing Telephone | 6825613889 |
| Mailing Fax Number | 4327562904 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |
| Authorized Official Name | MR. TEIZO DEVOTNAE ADKISON (FOUNDER) |
| Authorized Official Telephone | 6825613889 |
| Authorized Official Credential | LVN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Serenity Meadows Care Center | Doing Business As Name - Organization |
| Street Address |
2300 CAMP DR APT 1103 |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790236198 | Foursquare Texas 16, LLC | Skilled Nursing Facility | 801 South Loop 250 West, Midland, TX 79703 | 2016-10-20 |
| 1558737965 | Visions Senior Care Corporation | Skilled Nursing Facility | 3121 Roosevelt Ave, Midland, TX 79701-6739 | 2015-08-19 |
| 1790979623 | Legend Healthcare Midland, LLC | Skilled Nursing Facility | 3000 Mockingbird, Midland, TX 79705-1608 | 2007-09-04 |
| 1003913773 | Trinity Haven Healthcare Center, Inc. | Skilled Nursing Facility | 3203 Sage St, Midland, TX 79705-5711 | 2006-09-17 |
| 1487767026 | Midmichigan Stratford Village | Skilled Nursing Facility | 2121 Rockwell Drive, Midland, MI 48642-9316 | 2006-08-17 |
| 1679518377 | Tendercare (michigan) Inc. | Skilled Nursing Facility | 4900 Hedgewood Dr, Midland, MI 48640-1928 | 2006-06-17 |
| 1124014998 | Terrace West Nursing and Rehabilitation Lp | Skilled Nursing Facility | 2800 N Midland Dr, Midland, TX 79707-5536 | 2005-09-27 |
| 1710984117 | Midland Nursing Center LLC | Skilled Nursing Facility | 3615 E Ashman Rd, Midland, MI 48642-8858 | 2005-06-30 |
| 1588122238 | Anson Hospital District | Skilled Nursing Facility | 3000 Mockingbird, Midland, TX 79705-1608 | 2019-03-12 |
| 1790201911 | Fpacp Hogan Park LLC | Skilled Nursing Facility | 3203 Sage St, Midland, TX 79705-5711 | 2017-08-18 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.