Serenity Haven Hospice Care LLC

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

Legal business name

SERENITY HAVEN HOSPICE CARE LLC

Practice address

974 Klondike CT SW Ste 102
Conyers, GA 30094-5185

Phone

(855) 742-2732

Fax

(866) 525-0411

NPI assigned

Jun 4, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Candace Butts, RNNPI 1245194109

Title

Administrator

Phone

(404) 281-3306

Specialties & licenses 2

Addresses

Other names 1

• Serenity Haven Hospice Care Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candace Butts, RN

  • Administrator Registered Nurse
  • Conyers, GA
  • NPI 1245194109
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1043104276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 NEW HAVEN PL",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943380",
            "telephone_number": "404-281-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 KLONDIKE CT SW STE 102",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945185",
            "telephone_number": "855-742-2732",
            "fax_number": "866-525-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HAVEN HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-281-3306",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Haven Hospice Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Administrator Registered Nurse in Conyers, GA
• Providers in Conyers, GA by specialty
• Administrator Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.