NPIMap

Organization Active NPI

Serenity Palliative Care and Hospice, LLC

  • Community Based Hospice Care Agency
  • Salem, OR
National Provider Identifier
1174904049
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
161067 Issued in OR
Legal business name
SERENITY PALLIATIVE CARE AND HOSPICE, LLC
Practice address
3501 Fairview Industrial Dr SE Ste 140
Salem, OR 97302-1794
Phone
(503) 991-5228
Fax
(855) 279-6101
NPI assigned
Jun 16, 2015
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 161067 OR Primary

Addresses

Primary practice location

3501 Fairview Industrial Dr SE Ste 140
Salem, OR 97302-1794

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
O20150728004443 OR Part A Provider - Hospice 8527246644 Practice locations: Salem, OR

Hospice certification: CCN 381564

Legal name
SERENITY PALLIATIVE CARE AND HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 26, 2016
Last certification
Jan 26, 2016
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
6444 Fairway Ave SE
Salem, OR 97306-1443

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 381564
Ownership
For-Profit
Certified
Jan 26, 2016
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
38D2121518Serenity Hospice3501 Fairview Industrial Drive SE, Suite 140, Salem, OR 97302Certificate of waiverNov 6, 2026

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

3501 Fairview Industrial Dr SE
Ste 140
Salem, OR 97302
Phone (503) 991-5228

6444 Fairway Ave SE
Salem, OR 97306
Phone (971) 901-2713

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Hpa Management Company, LLC Organization, Hoover, AL Management services company Operational/Managerial Control Oct 1, 2019
Bank of America, N.a. Organization, Charlotte, NC Financial institution 5% Or Greater Mortgage Interest Feb 1, 2022 10%
Citizens Bank NA Organization, Stamford, CT Financial institution 5% Or Greater Mortgage Interest Nov 1, 2022 10%
New Capital Partners II- HS, Inc. Organization, Downers Grove, IL Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
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 14.42%
JP Morgan Chase, N.a. Organization, New York, NY Financial institution 5% Or Greater Mortgage Interest Oct 1, 2019 10%
Huntington National Bank Organization, Columbus, OH Financial institution 5% Or Greater Mortgage Interest Oct 1, 2019 6.7%
Norma English Individual Corporate OfficerHospice Division President Oct 1, 2019
W-2 Managing Employee Oct 1, 2019
Operational/Managerial ControlHospice Division President Oct 1, 2019 100%
Vanguard Group Inc Organization, Malvern, PA Investment firm 5% Or Greater Indirect Ownership Interest Oct 1, 2019 6.5%
Wells Fargo Bank, N.a. Organization, Minneapolis, MN Financial institution 5% Or Greater Mortgage Interest Oct 1, 2019 7.5%
William Bradley Bickham Individual Corporate OfficerPresident & Coo Oct 1, 2019
Rodney Dirk Allison Individual Corporate OfficerCeo 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 15.8%
Fifth Third Bank, National Association Organization, Chicago, IL Financial institution 5% Or Greater Mortgage Interest Oct 1, 2019 10%
Whitney Bank Organization, New Orleans, LA Financial institution 5% Or Greater Mortgage Interest Oct 1, 2019 6.7%
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 Nov 1, 2022 10%
Hospice Partners of America LLC Organization, Birmingham, AL For-profit 5% Or Greater Direct Ownership Interest Apr 29, 2011 100%
Bank of the West Organization, City of Industry, CA Financial institution 5% Or Greater Mortgage Interest Oct 1, 2019 10%

Owners & managing parties with NPI records 1

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": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1174904049",
    "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": "3501 FAIRVIEW INDUSTRIAL DR SE STE 140",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021794",
            "telephone_number": "503-991-5228",
            "fax_number": "855-279-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PALLIATIVE CARE AND HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "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": "161067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.