Serenity Adult Day Health, Inc. 2

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

SERENITY ADULT DAY HEALTH, INC. 2

Practice address

105 Westcliff Blvd
Warner Robins, GA 31093-3019

Phone

(478) 302-5772

Fax

(478) 302-5773

NPI assigned

Sep 3, 2014

Last updated

Sep 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James N Pettis

Title

President

Phone

(478) 714-0246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1265832778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310690947",
            "telephone_number": "478-302-5772",
            "fax_number": "478-302-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WESTCLIFF BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933019",
            "telephone_number": "478-302-5772",
            "fax_number": "478-302-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ADULT DAY HEALTH, INC. 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "PETTIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-714-0246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Respite Care in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.