Organization Active NPI

Serenity Palliative and Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Rock Hill, SC
National Provider Identifier
1124030135
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HPC-0099 Issued in SC
Legal business name
SERENITY PALLIATIVE AND HOSPICE CARE, INC.
Practice address
325 South Oakland Avenue
Suite 201
Rock Hill, SC 29730-4573
Phone
(803) 817-1733
Fax
(803) 817-1744
NPI assigned
Aug 12, 2006
Organization subpart
Yes
Parent organization
SERENITY PALLIATIVE AND HOSPICE CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Ian Kirt Ash
Title
Ceo
Phone
(404) 644-5134

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HPC-099 SC
Community Based Hospice Care Agency 251G00000X HPC-0099 SC Primary

Addresses

Primary practice location

325 South Oakland Avenue
Suite 201
Rock Hill, SC 29730-4573

Mailing address

141 Village Parkway, NE
Building 5-a
Marietta, GA 30067-4067
Phone (770) 790-4146

Other identifiers 1

IdentifierTypeStateIssuer
HSP070MedicaidSC

Other names 1

  • Serenity Palliative & Hospice Care Other name

National Provider Directory

National Provider Directory
Part of
Serenity Palliative and Hospice Care Inc

Locations

141 Village Pkwy NE
Bldg 5A
Marietta, GA 30067

10 Plantation Park Dr
Ste 106
Bluffton, SC 29910
Phone (843) 706-3020

12 Farmfield Ave
Ste B
Charleston, SC 29407
Phone (843) 556-3119

4 Southwood Park Dr
Hilton Head Island, SC 29926
Phone (843) 706-3228

3525 Iron Horse Rd
Ste 103
Ladson, SC 29456
Phone (803) 817-1733

325 S Oakland Ave
Ste 201
Rock Hill, SC 29730
Phone (803) 817-1733

1470 Ebenezer Rd
Ste Ab
Rock Hill, SC 29732
Phone (803) 817-1733

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1124030135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 VILLAGE PARKWAY, NE",
            "address_2": "BUILDING 5-A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674067",
            "telephone_number": "770-790-4146",
            "fax_number": "770-955-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SOUTH OAKLAND AVENUE",
            "address_2": "SUITE 201",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304573",
            "telephone_number": "803-817-1733",
            "fax_number": "803-817-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PALLIATIVE AND HOSPICE CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERENITY PALLIATIVE AND HOSPICE CARE, INC.",
        "enumeration_date": "2006-08-12",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "ASH",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "KIRT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-644-5134"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC-099",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC-0099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP070",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Palliative & Hospice Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.