Organization Active NPI

Sotto International, Inc.

Doing business as Serenity Care

  • Community Based Hospice Care Agency
  • Texarkana, TX
National Provider Identifier
1306898440
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
009271 Issued in TX
Legal business name
SOTTO INTERNATIONAL, INC.
Doing business as
Serenity Care
Practice address
5604 Summerhill Rd
Suite 3
Texarkana, TX 75503-4650
Phone
(903) 255-0430
Fax
(903) 255-0433
NPI assigned
May 17, 2006
Last updated
Aug 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Mr. Roger Bruhn
Title
Director
Phone
(918) 894-3487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 009271 TX Primary

Addresses

Primary practice location

5604 Summerhill Rd
Suite 3
Texarkana, TX 75503-4650

Mailing address

5314 S Yale Ave
Suite 420
Tulsa, OK 74135-6256
Phone (918) 894-3487

Other identifiers 1

IdentifierTypeStateIssuer
001012826MedicaidTX

Other names 1

  • Serenity Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

222 N Pine
Ste 2
Magnolia, AR 71753
Phone (870) 901-0500

210 N State Line Ave
Ste 301
Texarkana, AR 71854
Phone (866) 367-9445

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2016 Change of OwnershipThis provider was the seller Enhabit HospiceCCN 451785, TX, NPI 1457807273

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1306898440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 S YALE AVE",
            "address_2": "SUITE 420",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356256",
            "telephone_number": "918-894-3487",
            "fax_number": "918-712-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 SUMMERHILL RD",
            "address_2": "SUITE 3",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034650",
            "telephone_number": "903-255-0430",
            "fax_number": "903-255-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOTTO INTERNATIONAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "BRUHN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "918-894-3487",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "009271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012826",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.