Serenity Palliative and Hospice Care of Valdosta, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SERENITY PALLIATIVE AND HOSPICE CARE OF VALDOSTA, INC.

Doing business as

Serenity Palliative and Hospice Care

Practice address

1205 Baytree Rd
Suite 5
Valdosta, GA 31602-2782

Phone

(229) 241-8338

Fax

(229) 241-8353

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ian Ash, MSW

Title

Ceo

Phone

(770) 790-4146

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Serenity Palliative and Hospice Care Doing business as

Locations

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1104021609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 BAYTREE RD",
            "address_2": "SUITE 5",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022782",
            "telephone_number": "229-241-8338",
            "fax_number": "229-241-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 BAYTREE RD",
            "address_2": "SUITE 5",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022782",
            "telephone_number": "229-241-8338",
            "fax_number": "229-241-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PALLIATIVE AND HOSPICE CARE OF VALDOSTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "ASH",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-790-4146",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "18063",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Palliative and Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deedee B Sellers, SLP
• James Seman, LMFT
• Susan Grogan Semmes, CPO/LPO
• Serendipity Midwifery, LLC
• Serenity Counseling Services, LLC
• Serenity Sessions & Bodywork LLC
• Serenity Therapy LLC
• Samira Sermons, NP
• Faith S Setser, M.ED
• SGMC Affiliated Services LLC

• Community Based Hospice Care Agency in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.