Active NPI
Serenity Palliative and Hospice Care
- Community Based Hospice Care Agency
- Rock Hill, SC
National Provider Identifier
1750422192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- HPC-099
- Legal business name
- SERENITY PALLIATIVE AND HOSPICE CARE
- Practice address
- 223 S Herlong Ave
Suite 110
Rock Hill, SC 29732-1670 - Phone
- (803) 817-1733
- Fax
- (803) 817-1744
- NPI assigned
- Feb 9, 2007
- 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
- Robin D Walton, RN, BSN, OCN, CHPN
- Title
- Administrator
- Phone
- (803) 817-1733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | HPC-099 | SC | Primary |
Addresses
Primary practice location
223 S Herlong Ave
Suite 110
Rock Hill, SC 29732-1670
Mailing address
223 S Herlong Ave
Suite 110
Rock Hill, SC 29732-1670
Phone (803) 817-1733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP070 | Medicaid | SC |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community Based Hospice Care Agency
- Rock Hill, SC
- NPI 1124030135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750422192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 S HERLONG AVE",
"address_2": "SUITE 110",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321670",
"telephone_number": "803-817-1733",
"fax_number": "803-817-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 S HERLONG AVE",
"address_2": "SUITE 110",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321670",
"telephone_number": "803-817-1733",
"fax_number": "803-817-1744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY PALLIATIVE AND HOSPICE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WALTON",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "803-817-1733",
"authorized_official_credential": "RN, BSN, OCN, CHPN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "SC",
"license": "HPC-099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP070",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.