SERENITY HOSPICE HOME, INC (NPI# 1275818965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275818965 |
| Entity Type | Organization |
| Organization Name | SERENITY HOSPICE HOME, INC |
| Practice Address |
72 King Richard Rd Dry Prong LA 71423-8705 |
| Practice Telephone | 3186640082 |
| Mailing Telephone | 3186640082 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |
| Authorized Official Name | MRS. WINONA SUZANNE SHORT (PRESIDENT/CEO) |
| Authorized Official Telephone | 3186640082 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities |
| Street Address |
72 KING RICHARD RD |
| City | DRY PRONG |
| State | LA |
| Zip Code | 71423-8705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366928277 | Dry Prong Family Clinic, LLC | Clinic/Center | 800 Grove Street, Dry Prong, LA 71423 | 2018-07-13 |
| 1528506813 | Anna Eyer | Counselor | 8622 Highway 71 N, Dry Prong, LA 71423 | 2017-02-07 |
| 1134397110 | Moreau Coutee Enterprises, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1004 Flagon Road, Pineville, LA 71423 | 2008-02-13 |
| 1427270081 | Healthy Outlook Management Enterprises | Nurse Practitioner | 2380 Airbase Rd, Dry Prong, LA 71423 | 2007-05-03 |
| 1598851107 | Danny Dee Dauzat | Occupational Therapist | 3380 Grays Creek Rd, 3380 Grays Creek Rd, Dry Prong, LA 71423 | 2006-10-04 |
| 1447523626 | Total Health Chiropractic Center, LLC | Chiropractor | 19548 Highway 167, Dry Prong, LA 71423-3400 | 2012-02-17 |
| 1740745751 | Georgia Moran | Case Manager/Care Coordinator | 20895 Highway 167, Dry Prong, LA 71423-3438 | 2019-02-04 |
| 1629012984 | Paul Cade Hargis | Dentist | 20970 Highway 167, Dry Prong, LA 71423-3468 | 2006-06-16 |
| 1750768495 | Rita D Martin | Counselor | 259 Prospect Rd, Dry Prong, LA 71423-3479 | 2015-05-01 |
| 1174080816 | Roc With Knowledge & Grit, Inc. | Psychoanalyst | 259 Prospect Rd, Dry Prong, LA 71423-3479 | 2019-03-01 |
| Find all providers in zip 71423 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356644702 | Paramount Hospice North LLC | Hospice, Inpatient | 813 Pine St, West Monroe, LA 71291-4046 | 2010-12-07 |
| 1598987455 | Agape Hospice Care of Ruston, LLC | Hospice, Inpatient | 1503 Goodwin Rd, Suite 101, Ruston, LA 71270-2948 | 2007-05-02 |
| 1275632762 | Canon Hospice LLC | Hospice, Inpatient | 13702 Coursey Blvd Ste 6a, Baton Rouge, LA 70817-1370 | 2006-09-21 |
| 1225079643 | Gamble Hospice Care Northwest, LLC | Hospice, Inpatient | 8950 E Kings Hwy, Shreveport, LA 71115 | 2006-06-09 |
| 1871563320 | Christus Continuing Care | Hospice, Inpatient | 4801 Jackson Street Ext, Suite B, Alexandria, LA 71303-2508 | 2006-01-26 |
| 1568699171 | Christus Continuing Care | Hospice, Inpatient | 1700 Buckner St, Suite 200, Shreveport, LA 71101-4452 | 2009-06-22 |
| 1912081217 | Community Care Hospice LLC | Hospice, Inpatient | 1007 W Thomas St, Suite A, Hammond, LA 70401-3062 | 2006-10-24 |
| 1598864084 | Canon Health Care LLC-tlhc | Hospice, Inpatient | 1221 S Clearview Pkwy, 4th Fl, Jefferson, LA 70121-1011 | 2006-09-21 |
| 1811923634 | Christus Health Northern Louisiana | Hospice, Inpatient | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2006-06-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.