Organization Active NPI

Serenity Holistic Hospice Services of Anaconda, LLC

  • Community Based Hospice Care Agency
  • Anaconda, MT
National Provider Identifier
1104142959
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SERENITY HOLISTIC HOSPICE SERVICES OF ANACONDA, LLC
Practice address
903 W 3Rd St
Anaconda, MT 59711-2001
Phone
(406) 563-3017
Fax
(406) 563-3017
NPI assigned
Apr 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Deanna Lee Blotkamp
Title
Administrator
Phone
(406) 563-3017

Specialties & licenses 1

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

Addresses

Primary practice location

903 W 3Rd St
Anaconda, MT 59711-2001

Mailing address

903 W 3Rd St
Anaconda, MT 59711-2001
Phone (406) 563-3017

Other names 1

  • Serenity Hospice Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1104142959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W 3RD ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112001",
            "telephone_number": "406-563-3017",
            "fax_number": "406-563-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W 3RD ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112001",
            "telephone_number": "406-563-3017",
            "fax_number": "406-563-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOLISTIC HOSPICE SERVICES OF ANACONDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-18",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "BLOTKAMP",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "406-563-3017"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaconda, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.