Organization Active NPI

Sotto International, Inc.

  • Community Based Hospice Care Agency
  • Magnolia, AR
National Provider Identifier
1003860941
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
AR4247 Issued in AR
Legal business name
SOTTO INTERNATIONAL, INC.
Practice address
1316 E. Main Street
Magnolia, AR 71753-3826
Phone
(866) 367-9445
Fax
(918) 712-9880
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Roger A Bruhn
Title
Secretary/Treasurer
Phone
(918) 894-3487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X AR4247 AR Primary

Addresses

Primary practice location

1316 E. Main Street
Magnolia, AR 71753-3826

Mailing address

5314 South Yale Ave
Suite 420
Tulsa, OK 74135-6271
Phone (918) 770-4441

Other identifiers 1

IdentifierTypeStateIssuer
158725747MedicaidAR

Other names 1

  • Serenity Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Tax ID family
Grace Hospice3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2016 Change of OwnershipThis provider was the seller Enhabit HospiceCCN 041573, AR, NPI 1760939276

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1003860941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 SOUTH YALE AVE",
            "address_2": "SUITE 420",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356271",
            "telephone_number": "918-770-4441",
            "fax_number": "918-712-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 E. MAIN STREET",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533826",
            "telephone_number": "866-367-9445",
            "fax_number": "918-712-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOTTO INTERNATIONAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "BRUHN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "918-894-3487"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AR",
            "license": "AR4247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158725747",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, AR

Sources for this page

Verify at the official NPI Registry.