Serenity Hospice Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

25-1581 Issued in MS

Legal business name

SERENITY HOSPICE CARE, LLC

Practice address

584 E Main St Ste B4
Philadelphia, MS 39350-2330

Phone

(601) 663-4126

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Daree Breland

Title

Administrative Director

Phone

(601) 663-4126

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073610218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 E MAIN ST STE B4",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502330",
            "telephone_number": "601-663-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 E MAIN ST STE B4",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502330",
            "telephone_number": "601-663-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRELAND",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "DAREE",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "601-663-4126"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "25-1581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08639050",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne Robinson
• Rush Medical Group of Newton, PA (Rush Medical Group of Newton-Philadelphia)
• James Roy Sanderson, SURGICAL ASSTANT
• Rachael Reed Scarbrough, LCSW
• Serenity Comfort Home Care
• Jean Ross Shaw
• Emily Shepherd, RD, LD
• Thomas Shoffner, LPC
• Shouted Silence Services, LLC (The Anchor Clinic)
• Carrie Shrock-Haggard

• Community Based Hospice Care Agency in Philadelphia, MS
• Providers in Philadelphia, MS by specialty
• Community Based Hospice Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.