Provider Demographics
NPI:1992503668
Name:SERENITY SANDS HOSPICE, LLC
Entity type:Organization
Organization Name:SERENITY SANDS HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LNFA
Authorized Official - Phone:702-723-6700
Mailing Address - Street 1:775 W 1200 N STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-3070
Mailing Address - Country:US
Mailing Address - Phone:702-723-6700
Mailing Address - Fax:
Practice Address - Street 1:6070 W POST RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-3419
Practice Address - Country:US
Practice Address - Phone:702-723-6700
Practice Address - Fax:702-723-6800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No251G00000XAgenciesHospice Care, Community Based