NPIMap

Organization Active NPI

Serenity Premier Hospice, LLC

Doing business as ACG Hospice

  • Community Based Hospice Care Agency
  • Vicksburg, MS
National Provider Identifier
1730419722
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SERENITY PREMIER HOSPICE, LLC
Doing business as
ACG Hospice
Practice address
3409 Halls Ferry Rd Ste 1
Vicksburg, MS 39180-5525
Phone
(601) 631-8060
Fax
(601) 631-8062
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Pamela Duncan Owens
Title
Cco
Phone
(800) 932-2738

Specialties & licenses 1

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

Addresses

Primary practice location

3409 Halls Ferry Rd Ste 1
Vicksburg, MS 39180-5525

Mailing address

187 N Church St Ste 201
Spartanburg, SC 29306-5154
Phone (800) 932-2738

Other names 1

  • ACG Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100331000294 MS Part A Provider - Hospice 6507992351 Practice locations: Vicksburg, MS

Hospice certification: CCN 251660

Legal name
SERENITY PREMIER HOSPICE, LLC
Doing business as
SPECIALTY HOSPICE-CENTRAL MS
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 24, 2010
Last certification
Jun 15, 2022
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Sep 2, 2009 in MS
Enrollment address
3409 Halls Ferry Road
Suite 1
Vicksburg, MS 39180-5525

Care Compare: Hospice

Medicare Care Compare
Listed as
Acg Hospice-VicksburgCCN 251660 ยท All quality measures
Ownership
For-Profit
Certified
May 24, 2010
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3409 Halls Ferry Rd
Ste 1
Vicksburg, MS 39180
Phone (601) 631-8060

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Adrian McKay Individual 5% Or Greater Direct Ownership Interest Mar 1, 2017 50%
Shawonda McKay Individual 5% Or Greater Direct Ownership Interest Mar 1, 2017 50%
Corporate OfficerCeo/President Mar 1, 2017
W-2 Managing Employee Mar 1, 2017
Adrienne McKay Individual W-2 Managing EmployeeBoard Member Oct 14, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1730419722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 N CHURCH ST STE 201",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065154",
            "telephone_number": "800-932-2738",
            "fax_number": "888-847-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 HALLS FERRY RD STE 1",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805525",
            "telephone_number": "601-631-8060",
            "fax_number": "601-631-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PREMIER HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "800-932-2738"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACG Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.