SERENITY PREMIER HOSPICE, LLC (NPI# 1730419722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730419722 |
| Entity Type | Organization |
| Organization Name | SERENITY PREMIER HOSPICE, LLC |
| Practice Address |
1905 Mission 66 # B Suite 1 Vicksburg MS 39180-3751 |
| Mailing Address |
Po Box 820472 Vicksburg MS 39182-0472 |
| Practice Telephone | 6016619752 |
| Practice Fax Number | 6016616021 |
| Mailing Telephone | 6016619752 |
| Mailing Fax Number | 6016616021 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-03-24 |
| Authorized Official Name | JOYCE BLUE (ADMINISTRATOR) |
| Authorized Official Telephone | 6016619752 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | MS | Agencies |
| Street Address |
1905 MISSION 66 # B SUITE 1 |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39180-3751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427455666 | David Cooper Lee | Hearing Instrument Specialist | 1905 Mission 66 # B, Suite 2, Vicksburg, MS 39180-3751 | 2014-12-03 |
| 1194124602 | Andrea Heath | Counselor | 1905 Mission 66 # B, Suite 4, Vicksburg, MS 39180-3751 | 2014-08-20 |
| 1407284615 | Riverview Behavior Health Services | Health Maintenance Organization | 1905 Mission 66 # B, Vicksburg, MS 39180-3751 | 2013-10-24 |
| 1801142708 | Felicia Catching | Clinical Nurse Specialist | 1905 Mission 66 # B, Suite 4, Vicksburg, MS 39180-3751 | 2012-07-28 |
| 1558683805 | Always Home, LLC | In Home Supportive Care | 1905 Mission 66 # B, Suite 1, Vicksburg, MS 39180-3751 | 2010-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
| 1386012904 | Brian Oliver Snowden | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 | 2015-09-14 |
| 1962802710 | Jordan P. Crocker, D.m.d., Pllc | Clinic/Center | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
| 1821434259 | Trisha Addison | Physical Therapist | 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 | 2013-05-13 |
| 1073862157 | Laura Jeanne Briggs | Physical Therapist | 1901-a Mission 66, Vicksburg, MS 39180 | 2012-09-05 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1922217314 | Austin Family Dentistry | Dentist | 3040 Indiana Ave, Vicksburg, MS 39180 | 2007-05-22 |
| 1063539138 | Ollie Hardaway Jr. | Dentist | 154 Cottonwood Street, Vicksburg, MS 39180 | 2007-03-23 |
| Find all providers in zip 39180 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912179078 | Tj3am3 | Hospice Care, Community Based | 104 Greenview Dr, Vicksburg, MS 39183-9003 | 2008-03-28 |
| 1952581803 | Southerncare, Inc | Hospice Care, Community Based | 1990 S Frontage Rd Ste I, Vicksburg, MS 39180-5232 | 2007-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719893 | Reformation, LLC | Hospice Care, Community Based | 5870 Belmont Rd, Hernando, MS 38632-9013 | 2020-10-29 |
| 1629619051 | Daniel Campbell | Hospice Care, Community Based | 721 S Church St, Brookhaven, MS 39601-3811 | 2019-10-07 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1821514175 | Infinity Hospice Care,inc | Hospice Care, Community Based | 110 S Pearl St, Carthage, MS 39051-4132 | 2017-08-18 |
| 1023530904 | Solace Hospice Inc | Hospice Care, Community Based | 215 Highway 26 E, Poplarville, MS 39470-3109 | 2017-07-12 |
| 1265961940 | Palladium Hospice and Palliative Care, LLC | Hospice Care, Community Based | 695 Shamrock Dr, Batesville, MS 38606-2256 | 2017-06-07 |
| 1740719418 | Palladium Hospice and Palliative Care, LLC | Hospice Care, Community Based | 680 Highway 51 Ste D, Ridgeland, MS 39157-2103 | 2017-06-07 |
| 1508393646 | Lhcg C, LLC | Hospice Care, Community Based | 2309 Bluecutt Rd Ste B, Columbus, MS 39705-1305 | 2017-05-19 |
| 1104357177 | Heart of Hospice, LLC | Hospice Care, Community Based | 135 Bounds St, Ste C, Jackson, MS 39206-4121 | 2017-03-22 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
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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.