NPIMap

Organization Active NPI

Serenecare Inc

  • Community Based Hospice Care Agency
  • Omaha, NE
National Provider Identifier
1225433931
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
18698 Issued in NE
Legal business name
SERENECARE INC
Practice address
4905 S 107TH Ave Ste 205
Omaha, NE 68127-1965
Phone
(402) 597-2585
Fax
(402) 597-2644
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Mr. Lisa Keller, LPN
Title
LPN
Phone
(402) 350-3449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 18698 NE Primary

Addresses

Primary practice location

4905 S 107TH Ave Ste 205
Omaha, NE 68127-1965

Mailing address

4905 S 107TH Ave Ste 205
Omaha, NE 68127-1965
Phone (402) 597-2585

National Provider Directory

National Provider Directory

Locations

4905 S 107th Ave
Ste 205
Omaha, NE 68127
Phone (402) 597-2585

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1225433931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 S 107TH AVE STE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271965",
            "telephone_number": "402-597-2585",
            "fax_number": "402-597-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 S 107TH AVE STE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271965",
            "telephone_number": "402-597-2585",
            "fax_number": "402-597-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "402-350-3449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NE",
            "license": "18698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.