Serenity Acres Hospice and Palliative Care Services, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SERENITY ACRES HOSPICE AND PALLIATIVE CARE SERVICES, INC

Practice address

1555 E University Dr
Suite 3
Mesa, AZ 85203-8143

Phone

(480) 213-7898

Fax

(480) 203-2293

NPI assigned

Sep 4, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Theodore A Mogol

Title

President/Coo

Phone

(480) 213-7898

Specialties & licenses 1

Addresses

Other names 1

• Serenity Acres Hospice Other name

Locations

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1851726236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 E UNIVERSITY DR",
            "address_2": "SUITE 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038143",
            "telephone_number": "480-213-7898",
            "fax_number": "480-203-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E UNIVERSITY DR",
            "address_2": "SUITE 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038143",
            "telephone_number": "480-213-7898",
            "fax_number": "480-203-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ACRES HOSPICE AND PALLIATIVE CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "MOGOL",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "480-213-7898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Acres Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.