Active NPI
Serenity Hospice Penn LLC
- Community Based Hospice Care Agency
- Bensalem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SERENITY HOSPICE PENN LLC
- Practice address
- 3331 Street Rd Ste 101
Bensalem, PA 19020-2045 - Phone
- (732) 994-4324
- NPI assigned
- Sep 21, 2016
- Last updated
- Feb 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Avraham Feigenbaum
- Title
- Member
- Phone
- (732) 364-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
3331 Street Rd Ste 101
Bensalem, PA 19020-2045
Mailing address
3331 Street Rd Ste 101
Bensalem, PA 19020-2045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170224001670 | PA | Part A Provider - Hospice | 4587948229 | Practice locations: Bethlehem, PA; Bensalem, PA; Wilkes Barre, PA; Lancaster, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1063960805. Details of each certification follow.
Hospice certification: CCN 391748
- Legal name
- SERENITY HOSPICE PENN LLC
- Doing business as
- SERENITY HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 12, 2012
- Last certification
- Dec 4, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Aug 19, 2016 in PA
- Enrollment address
- 3331 Street Rd
Ste 101
Bensalem, PA 19020-2045
Care Compare: Hospice
Medicare Care Compare- Listed as
- Serenity Hospice
- Ownership
- For-Profit
- Certified
- Sep 12, 2012
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- At Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
3893 Adler Pl
Ste 101
Bethlehem, PA 18017
Phone (610) 281-4800
205 Granite Run Dr
Ste 210
Lancaster, PA 17601
Phone (717) 936-5400
1170 Highway 315 Blvd
Ste 6
Wilkes Barre, PA 18702
Phone (570) 237-9200
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Deborah F Feigenbaum | 5% Or Greater Direct Ownership Interest | Dec 30, 2016 | 34% |
| Avraham R Feigenbaum | 5% Or Greater Direct Ownership Interest | Dec 30, 2016 | 34% |
| Avrohom Y Maierovits | 5% Or Greater Direct Ownership Interest | Dec 30, 2016 | 8% |
| Zalman L Drew | 5% Or Greater Direct Ownership Interest | Dec 30, 2016 | 20% |
| Michael Michael Drew | W-2 Managing Employee | Dec 30, 2016 |
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Dec 30, 2016 | Change of Ownership | At Home Inc. |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba At Home Health Services
- Home Health Agency
- Schnecksville, PA
- NPI 1144265679
Acquired from, 2016-12-30
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Yardely, PA
- NPI 1538676333
Affiliated clinicians 31
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Narberth, PA
- NPI 1629015680
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486598400000",
"number": "1063960805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3331 STREET RD STE 101",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190202045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3331 STREET RD STE 101",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190202045",
"telephone_number": "732-994-4324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY HOSPICE PENN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-21",
"last_updated": "2017-02-09",
"status": "A",
"authorized_official_last_name": "FEIGENBAUM",
"authorized_official_first_name": "AVRAHAM",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "732-364-7100"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.