# XENNIAL SENIOR CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Place At Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467037457
- **Authorized official:** TRISTA JOHNSON (OWNER/ALTERNATE ADMINISTRATOR)
- **Authorized official phone:** (651) 398-9925

## Contact information

- **Practice address:** 945 SGT ED HOLCOMB BLVD S STE 20, CONROE, TX 77304-1130
- **Practice address phone:** (936) 703-8394
- **Mailing address:** 482 WOODPECKER FOREST LN, CONROE, TX 77384-3757
- **Mailing address phone:** (651) 398-9925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2021
- **Last updated:** 04/03/2024