| Organization Name: | SERENITY ONE HOSPICE AND PALLIATIVE CARE LLC |
| NPI Number: | 1043671829 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIA ROSARIO MONTALBAN (ADMINISTRATOR) |
| Mailing Address: | 2200 S Main St Ste 212 Lombard |
| State: | IL US |
| Postal Code: | 601485365 |
| Phone Number: | 7082686835 |
| Fax Number: | 6309532018 |
| NPI Enumeration Date: | 03/08/2016 |
| NPI Last Update Date: | 03/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 041-372191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |