Serenity Hospice Atx, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SERENITY HOSPICE ATX, LLC

Doing business as

Serenity Hospice

Practice address

2604 E State Highway 71
Bastrop, TX 78602-5094

Phone

(512) 581-8326

NPI assigned

Oct 3, 2013

Last updated

Jun 30, 2026By 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

Justin Yarmark

Title

Owner

Phone

(512) 987-4542

Specialties & licenses 1

Addresses

Other names 1

• Serenity Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316374408. Details of each certification follow.

• CCN 741645 Hospice · Active · Details

Hospice certification: CCN 741645

Legal name

S&P GUPTA ENTERPRISE LLC

Doing business as

SERENITY HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 17, 2016

Last certification

Apr 9, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

2604 Highway 71 E
BLDG B
Bastrop, TX 78602-5094

Listed as

Serenity HospiceCCN 741645 · All quality measures

Ownership

For-Profit

Certified

Nov 17, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Robert James Dougherty, MD

  • Family Medicine Physician
  • Bastrop, TX
  • NPI 1114935210

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Robert James Dougherty, MD

  • Family Medicine Physician
  • Bastrop, TX
  • NPI 1114935210

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1316374408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 E STATE HIGHWAY 71",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025094",
            "telephone_number": "512-985-6107",
            "fax_number": "512-379-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 E STATE HIGHWAY 71",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025094",
            "telephone_number": "512-581-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOSPICE ATX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "YARMARK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-987-4542"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Danelle Schock, PT, DPT
• Robert Leslie Schreiner, P.A.,C.
• Matthew Philip Schukar, O.D.
• Linda S. Seale, LPC
• Victor K Seghers, MD
• Diane Merril Shaktman, MD
• Erin Shehu, M.S., CCC-SLP
• Sheri Hatt (Rogue Prosthetics & Consulting Services)
• Jacqueline Nguyen Shimamoto, MD
• Laura Marie Sieber, MD

• Community Based Hospice Care Agency in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.