NPIMap

Organization Active NPI

Serenity Palliative Care and Hospice, LLC

  • Community Based Hospice Care Agency
  • Tigard, OR
National Provider Identifier
1174561849
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
353552-96 Issued in OR
Legal business name
SERENITY PALLIATIVE CARE AND HOSPICE, LLC
Practice address
11481 SW Hall Blvd Ste 200
Tigard, OR 97223-8403
Phone
(503) 639-0600
Fax
(503) 639-0699
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Ms. Heather Dixon
Title
President & Coo
Phone
(469) 535-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 353552-96 OR Primary

Addresses

Primary practice location

11481 SW Hall Blvd Ste 200
Tigard, OR 97223-8403

Mailing address

6303 Cowboys Way Ste 600
Frisco, TX 75034-0329
Phone (469) 535-8200

Other names 1

  • Serenity Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110620000594 OR Part A Provider - Hospice 8527246644 Practice locations: Tigard, OR

Hospice certification: CCN 381555

Legal name
SERENITY PALLIATIVE CARE AND HOSPICE LLC
Doing business as
SERENITY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 28, 2007
Last certification
Jul 7, 2011
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
11481 SW Hall Blvd
Ste 200
Tigard, OR 97223-8403

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Serenity HospiceCCN 381555
Ownership
For-Profit
Certified
Mar 28, 2007
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2071282Serenity Palliative Care & Hospice, LLC Dba11481 SW Hall Boulevard, Suite 200, Tigard, OR 97223Certificate of waiverJan 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
Serenity Palliative Care and Hospice LLC3 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6975 SW Sandburg St
Ste 190
Portland, OR 97223
Phone (503) 639-0600

6945 SW Sandburg St
Portland, OR 97223

Ownership & related parties

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bank of America, N.a. Organization, Charlotte, NC Financial institution 5% Or Greater Mortgage Interest Jun 1, 2022 9.2%
Citizens Bank NA Organization, Stamford, CT Financial institution 5% Or Greater Mortgage Interest Oct 1, 2019 5.4%
New Capital Partners II- HS, Inc. Organization, Downers Grove, IL Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
Barry N Davis Individual W-2 Managing EmployeeMD; Dec 26, 2019
Jaclyn Amber Serell Individual W-2 Managing EmployeeAd; Dec 1, 2025
Brian T Monahan Individual Corporate OfficerVP of Tax Oct 1, 2019
Black Rock Institutional Trust Company N.a. Organization, San Francisco, CA Investment firm 5% Or Greater Indirect Ownership Interest Oct 1, 2019 16%
Huntington National Bank Organization, Columbus, OH Financial institution 5% Or Greater Mortgage Interest Oct 1, 2019 5.4%
Vanguard Group Inc Organization, Malvern, PA Investment firm 5% Or Greater Indirect Ownership Interest Oct 1, 2019 6.8%
Wells Fargo Bank, N.a. Organization, Minneapolis, MN Financial institution 5% Or Greater Mortgage Interest Oct 1, 2019 9.2%
William Bradley Bickham Individual Corporate OfficerAdvisor to the Ceo Oct 1, 2019
Synovous Bank, National Association Organization, Columbus, GA Financial institution 5% Or Greater Mortgage Interest Jan 1, 2025 5.4%
Rodney Dirk Allison Individual Corporate OfficerCeo/ Chairman Oct 1, 2019
Addus Homecare Corporation Organization, Downers Grove, IL Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
Capital One NA Organization, Bethesda, MD Financial institution 5% Or Greater Mortgage Interest Oct 1, 2019 11.6%
Regions Bank Organization, Birmingham, AL Financial institution 5% Or Greater Mortgage Interest Jan 1, 2025 5.4%
Travis Blaser Individual Operational/Managerial ControlDivision President Apr 15, 2024
Royal Bank of Canada Organization, Jersey City, NJ Financial institution 5% Or Greater Mortgage Interest Jan 1, 2025 5.4%
Fifth Third Bank, National Association Organization, Chicago, IL Financial institution 5% Or Greater Mortgage Interest Oct 1, 2019 9.2%
Heather B Dixon Individual Corporate OfficerPresident & Coo Sep 15, 2025
W-2 Managing EmployeePresident & Coo Sep 15, 2025
Addus Healthcare Inc Organization, Downers Grove, IL Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
Brian W Poff Individual Corporate OfficerCfo/ Secretary Oct 1, 2019
PNC Bank Organization, Pittsburgh, PA Financial institution 5% Or Greater Mortgage Interest Jun 1, 2022 9.2%
Hospice Partners of America LLC Organization, Birmingham, AL For-profit 5% Or Greater Direct Ownership Interest Apr 29, 2011 100%
US Bank National Association Organization, Minneapolis, MN Financial institution 5% Or Greater Mortgage Interest Jan 1, 2025 5.4%
Bmo Bank National Association Organization, Chicago, IL Financial institution 5% Or Greater Mortgage Interest Jan 1, 2025 9.2%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 22

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1174561849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 COWBOYS WAY STE 600",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340329",
            "telephone_number": "469-535-8200",
            "fax_number": "205-379-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11481 SW HALL BLVD STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238403",
            "telephone_number": "503-639-0600",
            "fax_number": "503-639-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PALLIATIVE CARE AND HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "469-535-8200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OR",
            "license": "353552-96",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.