Organization Active NPI

Angels of Serenity Hospice Inc

  • Community Based Hospice Care Agency
  • Highland, IN
National Provider Identifier
1730639741
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
16-014047-1 Issued in IN
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.