# SERENE WINGS OF WELLNESS CONCIERGE HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Serene Wings Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801601273
- **Authorized official:** RUTH BUSTOS RN (CEO/DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (346) 412-9168

## Contact information

- **Practice address:** 3660 BARKER CYPRESS RD STE 230, HOUSTON, TX 77084-7532
- **Practice address phone:** (346) 412-9168
- **Mailing address:** 3660 BARKER CYPRESS RD STE 230, HOUSTON, TX 77084-7532
- **Mailing address phone:** (346) 412-9168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 02/11/2025
- **Last updated:** 03/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1053811836 | — | TX |