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General NPI Number Information
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NPI Number | 1629912043
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Entity Type | Organization
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Legal Business Name | SERENITY KS OPCO LLC
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 129 W 2ND AVE STE D
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City | HUTCHINSON
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State | KS
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Zip | 67501-5268
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Country | US
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Telephone | 620-899-5683
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Fax |
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Provider Business Mailing Address
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Address Line | 129 W 2ND AVE STE D
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City | HUTCHINSON
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State | KS
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Zip | 67501-5268
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | STEPHEN PHENNEGER
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Credential |
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Telephone | 715-781-0192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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