Provider Demographics
NPI:1881571560
Name:SERENE CHALET LLC
Entity type:Organization
Organization Name:SERENE CHALET LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:COLUMBIA
Authorized Official - Middle Name:JENEINE
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-718-5683
Mailing Address - Street 1:5900 BALCONES DR # 22467
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4257
Mailing Address - Country:US
Mailing Address - Phone:972-806-2241
Mailing Address - Fax:
Practice Address - Street 1:2209 VICTORIA LN
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-4719
Practice Address - Country:US
Practice Address - Phone:972-806-2241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRINITY SKYE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-16
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No177F00000XOther Service ProvidersLodging
No253Z00000XAgenciesIn Home Supportive Care