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SERENITY SQUARE L.L.C
NPI 1013439686
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ft. Worth, TX

Active since July 14, 2017
1121 KIELDER CIR, FT. WORTH, TX 76134(817) 877-7466 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, May 7, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Serenity Square L.l.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY SQUARE L.L.C (NPI 1013439686) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Ft. Worth, Texas and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Ft. Worth and lists Awndrea Walker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013439686
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSERENITY SQUARE L.L.C
Location Address1121 KIELDER CIRFt. Worth, TX 76134
Mailing Address1121 Kielder CirFt Worth, TX 76134-4514
Phone(817) 877-7466
Organization SubpartNo
Authorized OfficialAwndrea WalkerCeo · (817) 877-7466
Enumeration DateJuly 14, 2017
Last NPPES UpdateJune 16, 20184 updates tracked since enumeration
✔ NPI 1013439686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
1121 KIELDER CIR, Ft. Worth, TX 76134
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Secondary Practice Location 1

Location 11121 Kielder CirFt. Worth, TX 76134 · Phone (817) 877-7466

Other Identifiers 1

Medicaid14601517TX

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AWNDREA WALKER
Registered Nurse (Administrator)
1121 KIELDER CIR
FORT WORTH, TX 76134
Tarrant County (817) 877-7466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Square L.L.C's NPI number?

The NPI number for Serenity Square L.L.C is 1013439686. It was assigned to this organization in the NPPES registry on July 14, 2017.

Where is Serenity Square L.L.C located?

Serenity Square L.L.C is located at 1121 Kielder Cir, Ft. Worth, TX 76134. The listed phone number is (817) 877-7466.

What is Serenity Square L.L.C's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Serenity Square L.L.C was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.