Healthcare Provider Details

I. General information

NPI: 1801313200
Provider Name (Legal Business Name): SERENITY PALLIATIVE CARE AND HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2017
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 GREEN ACRES RD STE 12
EUGENE OR
97408-1715
US

IV. Provider business mailing address

6303 COWBOYS WAY STE 600
FRISCO TX
75034-0329
US

V. Phone/Fax

Practice location:
  • Phone: 458-205-5166
  • Fax: 541-393-2296
Mailing address:
  • Phone: 469-535-8200
  • Fax: 205-379-6720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. HEATHER DIXON
Title or Position: PRESIDENT & COO
Credential:
Phone: 469-535-8200