Organization Active NPI

Serenity Palliative and Hospice Care

  • Community Based Hospice Care Agency
  • Rock Hill, SC
National Provider Identifier
1750422192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HPC-099 Issued in SC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HSP070MedicaidSC

National Provider Directory

National Provider Directory

Ownership & 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.

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.

Verify at the official NPI Registry.