| Name: | Serenity Hospice Care, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Oct 2002 (22 years ago) |
| Entity Number: | 000-606-623 |
| Register Number: | 000606623 |
| County: | Choctaw |
| Place of Formation: | Mississippi |
| Registered Office Street Address: | 1810 WEST PUSHMATAHA STBUTLER, AL 36904 |
| Registered Office Street Address ZIP Code: | 36904 |
| Principal Address: | 1106 CENTRAL DRPHILADELPHIA, MS 39350 |
Activities
IN HOME HOSPICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114024221 | 2006-09-20 | 2020-08-22 | 206 S MULBERRY AVE, BUTLER, AL, 369042526, US | 206 S MULBERRY AVE, BUTLER, AL, 369042526, US | |||||||||||||||||||||||||
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| Phone | +1 205-459-4080 |
| Fax | 2054594090 |
Authorized person
| Name | KAREN DAREE BRELAND |
| Role | ADMINISTRATIVE DIRECTOR |
| Phone | 6016634126 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | 011633 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PIC1633E |
| State | AL |
| Name | Role |
|---|---|
| COWAN, J W JR | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
