Active NPI
Angels of Serenity Hospice Inc
- Community Based Hospice Care Agency
- Highland, IN
National Provider Identifier
1730639741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 16-014047-1
- Legal business name
- ANGELS OF SERENITY HOSPICE INC
- Practice address
- 2449 45TH St Ste C
Highland, IN 46322-2669 - Phone
- (219) 595-5105
- Fax
- (219) 595-5107
- NPI assigned
- Oct 13, 2016
- Last updated
- Dec 28, 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
- Lynnette Williams
- Title
- Administrator
- Phone
- (219) 595-5105
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 16-014047-1 | IN | Primary |
Addresses
Primary practice location
2449 45TH St Ste C
Highland, IN 46322-2669
Mailing address
2449 45TH St Ste C
Highland, IN 46322-2669
Phone (219) 595-5105
National Provider Directory
National Provider DirectoryLocations
2449 45th St
Ste C
Highland, IN 46322
Phone (219) 595-5105
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Medical Oncology Physician
- Chicago, IL
- NPI 1548234883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482883200000",
"number": "1730639741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2449 45TH ST STE C",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463222669",
"telephone_number": "219-595-5105",
"fax_number": "219-595-5107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 45TH ST STE C",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463222669",
"telephone_number": "219-595-5105",
"fax_number": "219-595-5107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELS OF SERENITY HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-13",
"last_updated": "2016-12-28",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "LYNNETTE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "219-595-5105"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "IN",
"license": "16-014047-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.