SERENITY HOSPICECARE NPI 1053316091

NPI Information

  • NPI: 1053316091
  • Provider Name: SERENITY HOSPICECARE
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • CLIA Number: 26D0897157
  • Address: 5272 FLAT RIVER RD
    MINERAL AREA COLLEGE
    PARK HILLS, MO
    ZIP 63601
  • Phone: (573) 431-0162

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NPI Details

SERENITY HOSPICECARE is a hospice care community based in Park Hills, MO. SERENITY HOSPICECARE NPI is 1053316091. The provider is registered as an organization entity type.

The provider's business location address is:

5272 FLAT RIVER RD
MINERAL AREA COLLEGE
PARK HILLS, MO
ZIP 63601-000
Phone: (573) 431-0162
Fax: (573) 431-6304

The provider's authorized official is Fred Mcdaniel .
The authorized official title is Executive Director and has the following contact phone number (573) 431-0162.

The CLIA number assigned to this NPI record is 26D0897157 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 3/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community BasedMISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
126-1554MEDICARE ID-TYPE UNSPECIFIED
2827876400MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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