Healthcare Provider Details

I. General information

NPI: 1730464033
Provider Name (Legal Business Name): SERENITY CARE HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2011
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 WESTCHESTER AVE
HARRISONVILLE MO
64701-1784
US

IV. Provider business mailing address

811 WESTCHESTER AVE
HARRISONVILLE MO
64701-1784
US

V. Phone/Fax

Practice location:
  • Phone: 816-380-3913
  • Fax: 816-380-3912
Mailing address:
  • Phone: 816-380-3913
  • Fax: 816-380-3912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: HEATH BARTNESS
Title or Position: CEO
Credential:
Phone: 651-328-6914