Serenity Hospice Home, Inc

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

Legal business name

SERENITY HOSPICE HOME, INC

Practice address

72 King Richard Rd
Dry Prong, LA 71423-8705

Phone

(318) 664-0082

NPI assigned

Oct 13, 2011

Last updated

Oct 13, 2011By 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. Winona Suzanne Short, RN, MSN

Title

President/Ceo

Phone

(318) 664-0082

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1275818965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 KING RICHARD RD",
            "city": "DRY PRONG",
            "state": "LA",
            "postal_code": "714238705",
            "telephone_number": "318-664-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 KING RICHARD RD",
            "city": "DRY PRONG",
            "state": "LA",
            "postal_code": "714238705",
            "telephone_number": "318-664-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOSPICE HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "WINONA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "318-664-0082",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Inpatient Hospice in Dry Prong, LA
• Providers in Dry Prong, LA by specialty
• Inpatient Hospice in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.