Active NPI
Sotto International, Inc.
Doing business as Serenity Care
- Community Based Hospice Care Agency
- Texarkana, TX
National Provider Identifier
1306898440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 009271
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001012826 | Medicaid | TX |
Other names 1
- Serenity Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
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
| Date | Event | Counterparty |
|---|---|---|
| Sep 1, 2016 | Change of Ownership | Enhabit Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Enhabit Hospice
- Community Based Hospice Care Agency
- Texarkana, TX
- NPI 1457807273
Sold to, 2016-09-01
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.