SERENITY PALLIATIVE AND HOSPICE CARE (NPI# 1649342536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649342536 |
| Entity Type | Organization |
| Organization Name | SERENITY PALLIATIVE AND HOSPICE CARE |
| Practice Address |
1475 Klondike Rd Sw Ste 100 Conyers GA 30094-5174 |
| Mailing Address |
1475 Klondike Rd Sw Suite 100 Conyers GA 30094-5174 |
| Practice Telephone | 6784132222 |
| Practice Fax Number | 6784132221 |
| Mailing Telephone | 6784132222 |
| Mailing Fax Number | 6784132221 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-01-31 |
| Authorized Official Name | DORNA FAKHRABADI (CEO) |
| Authorized Official Telephone | 6784132222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 033-0248H | GA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750422192 | Serenity Palliative and Hospice Care | Hospice Care, Community Based | 223 S Herlong Ave, Suite 110, Rock Hill, SC 29732-1670 | 2007-02-09 |
| Street Address |
1475 KLONDIKE RD SW STE 100 |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-5174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242026 | Champions Nursing Services, LLC | Hospice Care, Community Based | 2365 Wall St Se Ste 210, Conyers, GA 30013-2197 | 2020-07-07 |
| 1295366557 | Still Waters Healthcare, LLC | Hospice Care, Community Based | 2890 Georgia Highway 212 Sw Ste A-303, Conyers, GA 30094-3363 | 2020-01-27 |
| 1598203358 | Innovative Nursing Solutions and Hospice Care LLC | Hospice Care, Community Based | 1818 Lakefield Ct Se Ste B, Conyers, GA 30013-6610 | 2017-02-01 |
| 1811308943 | Hospice Nurses of Georgia, LLC | Hospice Care, Community Based | 2385 Wall Street Se, Suite 119, Conyers, GA 30013 | 2014-05-12 |
| 1144461997 | Medi Caregivers, Inc | Hospice Care, Community Based | 1172 Old Salem Rd Se, Conyers, GA 30094-5944 | 2009-03-08 |
| 1104031863 | At Home Healthcare and Hospice LLC | Hospice Care, Community Based | 1051 Culpepper Dr Sw # 100, Conyers, GA 30094-5986 | 2007-05-14 |
| 1588625925 | Hillcrest Hospice, Inc | Hospice Care, Community Based | 1374 Manchester Dr Ne, Conyers, GA 30012-3881 | 2006-03-28 |
| 1801493937 | Champion Nursing Services, Inc | Hospice Care, Community Based | 2365 Wall St Se Ste 210, Conyers, GA 30013-2197 | 2020-10-01 |
| 1396169074 | Magnolia Hospice, LLC | Hospice Care, Community Based | 1374 Manchester Dr Ne, Conyers, GA 30012-3881 | 2014-02-14 |
| 1619093788 | Serenity Health Care and Hospice | Hospice Care, Community Based | 1380 Milstead Ave Ne, Suite H, Conyers, GA 30012-3864 | 2007-03-21 |
| Find all providers in CONYERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.