Organization Active NPI

Serenity Hospice LLC

  • Community Based Hospice Care Agency
  • Maumee, OH
National Provider Identifier
1003532938
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SERENITY HOSPICE LLC
Practice address
3430 Briarfield Blvd
Maumee, OH 43537-9374
Phone
(419) 794-8565
Fax
(419) 794-2197
NPI assigned
Oct 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kalpesh Chaudhari
Title
Administrator
Phone
(419) 794-8565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3430 Briarfield Blvd
Maumee, OH 43537-9374

Mailing address

3430 Briarfield Blvd
Maumee, OH 43537-9374
Phone (419) 794-8565

National Provider Directory

National Provider Directory

Locations

3430 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-8565

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1003532938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 BRIARFIELD BLVD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379374",
            "telephone_number": "419-794-8565",
            "fax_number": "419-794-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 BRIARFIELD BLVD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379374",
            "telephone_number": "419-794-8565",
            "fax_number": "419-794-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARI",
        "authorized_official_first_name": "KALPESH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-794-8565"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.