Provider Demographics
NPI:1174909758
Name:ASERENE HEALTHCARE SERVICES,LLC
Entity type:Organization
Organization Name:ASERENE HEALTHCARE SERVICES,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHENICE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-971-8743
Mailing Address - Street 1:10701 CORPORATE DR STE 391
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4036
Mailing Address - Country:US
Mailing Address - Phone:832-532-7953
Mailing Address - Fax:281-302-5056
Practice Address - Street 1:10701 CORPORATE DR STE 391
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4036
Practice Address - Country:US
Practice Address - Phone:832-532-7953
Practice Address - Fax:281-302-5056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WC0400X, 251G00000X, 385H00000X
TX016522251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care