SERENITY HOSPICE, LLC SOS Verified
4560 S DECATUR BLVD SUITE 301, LAS VEGAS, NV 89103
NPI Number
1710382130
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: SERENITY HOSPICE, LLC
Entity Number: E0486172014-5
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2014-09-19
Name Match: 95%
Registered Agent
Name: CORPORATION SERVICE COMPANY*
Type: Commercial Registered Agent
Address: 112 NORTH CURRY STREET, Carson City, NV, 89703
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | ANN RANK | 4560 S. DECATUR BLVD, #301, LAS VEGAS, NV, 89103 | Inactive |
| Manager | JOSE LYNCH | 400 EXCHANGE, SUITE 140, IRVINE, CA, 92602 | Inactive |
| Other | JOSE LYNCH | 400 EXCHANGE, SUITE 140, Irvine, CA | Inactive |
| Manager | Legato Healthcare, LLC | c/o Pursue Health, LLC, Irvine, CA | Inactive |
| Manager | Traditions Health, LLC | 4560 S. Decatur Blvd., #301, Las Vegas, NV | Inactive |
| Other | A. Blakeney | 4560 S. Decatur Blvd., #301, Las Vegas, NV | Inactive |
| Manager | David Klementz | 1862 Rock Prairie Road Suite 200, College Station, TX | Inactive |
| Manager | John Kerndl | 6840 Carothers Parkway, Franklin, TN | Inactive |
| Manager | Brian Lantier | 6840 Carothers Parkway, Franklin, TN | Inactive |
| Manager | David Klementz | 150 4th Avenue North, Nashville, TN | Active |
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2020 | $0 | |
| 2021 | $0 | |
| 2022 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| Q5001 | Hospice or home health care provided in patient's home/residence | 42 | $0 | 0.0% | $0 |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 557 | $0 | 0.0% | $0 |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 698 | $0 | 0.0% | $0 |