Organization Active NPI

Sotto International, Inc.

  • Community Based Hospice Care Agency
  • Texarkana, AR
National Provider Identifier
1770538670
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
AR4290 Issued in AR
Legal business name
SOTTO INTERNATIONAL, INC.
Practice address
210 North State Line
Suite 301
Texarkana, AR 71854-4650
Phone
(870) 773-2621
Fax
(918) 712-9880
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Roger A. Bruhn
Title
Treasurer
Phone
(918) 894-3487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X AR4290 AR Primary

Addresses

Primary practice location

210 North State Line
Suite 301
Texarkana, AR 71854-4650

Mailing address

1214 E 33Rd St
Tulsa, OK 74105-2018
Phone (918) 894-3487

Other identifiers 1

IdentifierTypeStateIssuer
156555747MedicaidAR

Other names 1

  • Serenity Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2016 Change of OwnershipThis provider was the seller Enhabit HospiceCCN 041525, AR, NPI 1649726464

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1770538670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 E 33RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052018",
            "telephone_number": "918-894-3487",
            "fax_number": "918-712-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NORTH STATE LINE",
            "address_2": "SUITE 301",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718544650",
            "telephone_number": "870-773-2621",
            "fax_number": "918-712-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOTTO INTERNATIONAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "BRUHN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "918-894-3487"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AR",
            "license": "AR4290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156555747",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.