Serenity Hospice Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

017853 Issued in TX

Legal business name

SERENITY HOSPICE CARE, LLC

Doing business as

Serenity Home Care Services

Practice address

107 Calle del Norte # 11B
Laredo, TX 78041-9104

Phone

(956) 725-5333

Fax

(956) 725-5536

NPI assigned

Oct 26, 2016

Last updated

Aug 17, 2023By 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

Jose C Gonzalez

Title

Alt. Administrator

Phone

(956) 725-5533

Specialties & licenses 1

Addresses

Other names 1

• Serenity Home Care Services 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 1558813568. Details of each certification follow.

• CCN 741726 Hospice · Active · Details

Hospice certification: CCN 741726

Legal name

SERENITY HOSPICE CARE, LLC

Doing business as

SERENITY HOME CARE SERVICES

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 7, 2018

Last certification

Mar 3, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Dec 21, 2018 in TX

Enrollment address

107 Calle del Norte
Ste. 11 B
Laredo, TX 78041

Listed as

Serenity Home Care ServicesCCN 741726 · All quality measures

Ownership

For-Profit

Certified

May 7, 2018

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1558813568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CALLE DEL NORTE # 17",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780419104",
            "telephone_number": "956-725-5333",
            "fax_number": "956-725-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CALLE DEL NORTE # 11B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780419104",
            "telephone_number": "956-725-5333",
            "fax_number": "956-725-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ALT. ADMINISTRATOR",
        "authorized_official_telephone_number": "956-725-5533"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "017853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Laredo, TX
• Providers in Laredo, 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 Aug 17, 2023; 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.