A1 SERENITY HOSPICE, LLC — NPI 1831990035 (Licensed & Credentialed Agencies — Hospice Care, Community Based in PHOENIX, AZ)

CMS-1500 Box 24J / 33a • NPI

1831990035

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251G00000X (CMS B4[14])

Licensed & Credentialed Agencies — Hospice Care, Community Based

Box 32 Service Location & ZIP+4

15610 N 35TH AVE, PHOENIX, AZ, 85053-3838

✓ 9-Digit EDI 837 ZIP+4 (85053-3838)

Practice Phone & Referral Fax

(602) 863-4179

Fax: (623) 267-9789

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1831990035 (A1 SERENITY HOSPICE, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1831990035` (NPI-2 Organization / Facility)
Provider / Legal Name	A1 SERENITY HOSPICE, LLC
Plain-English Specialty	Licensed & Credentialed Agencies — Hospice Care, Community Based NUCC Code: `251G00000X` (Hospice Care, Community Based)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	15610 N 35TH AVE, PHOENIX, AZ, 85053-3838
Practice Telephone / Fax	Tel: (602) 863-4179 \| Fax: (623) 267-9789
Administrative Mailing Address	18163 W PUEBLO AVE, GOODYEAR, AZ, 85338-2042
Enumeration & Last Sync	Enumerated: 2025-03-24 \| CMS Record Updated: 2025-03-24
Authorized Official	CARLA LOCKHART (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

15610 N 35TH AVE, PHOENIX, AZ, 85053-3838

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Plain-English Taxonomy & CMS Crosswalk (251G00000X)

What Does Taxonomy Code 251G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251G00000X translates to:
"Licensed & Credentialed Agencies — Hospice Care, Community Based"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Hospice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Hospice Care, Community Based for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A1 SERENITY HOSPICE, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251G00000X` — Hospice Care, Community Based Plain English: Licensed & Credentialed Agencies — Hospice Care, Community Based	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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A1 SERENITY HOSPICE, LLC (NPI #1831990035)