Serenity Hospice

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY HOSPICE

Practice address

103 S Court St
Suite 107
Cleveland, MS 38732-2651

Phone

(662) 545-4756

Fax

(662) 545-4765

NPI assigned

Jan 29, 2017

Last updated

Jan 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sue Fox, RN

Title

Ceo

Phone

(662) 545-4756

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485648000000",
    "number": "1275070211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S COURT ST",
            "address_2": "SUITE 107",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322651",
            "telephone_number": "662-545-4756",
            "fax_number": "662-545-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S COURT ST",
            "address_2": "SUITE 107",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322651",
            "telephone_number": "662-545-4756",
            "fax_number": "662-545-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-29",
        "last_updated": "2017-01-29",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-545-4756",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rustom, DPT
• Jillian Sbravati
• Christian D. Schunn, M.D.
• Screven County Hospital LLC
• Serenity Adult Day Care
• Jack Bittell Sewell, M.D.
• Cassandra Latasha Shepard, FNP
• Covonda Lacraye Shepard
• Sarah Shepherd, LPC
• Alexander Lou Shing, DMD

• Home Health Agency in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2017; 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.