Still Waters Healthcare, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

STILL WATERS HEALTHCARE, LLC

Practice address

2890 Georgia Highway 212 SW Ste a-303
Conyers, GA 30094-3363

Phone

(404) 754-4372

NPI assigned

Jan 27, 2020

Organization subpart

No

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

Authorized official

Name

Audrey Collins, RN

Title

Ceo

Phone

(404) 754-4372

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1295366557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 GEORGIA HIGHWAY 212 SW STE A-303",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943363",
            "telephone_number": "404-754-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 GEORGIA HIGHWAY 212 SW STE A-303",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943363",
            "telephone_number": "404-754-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-754-4372",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher James Stewart
• Debra Nothnagel Stewart, RNFA, MSN
• Kyla Victoria Stewart
• Tamara Stewart
• Richard Glen Stiles, M.D.
• Jonathan Stott, RNFA
• Sheryl L. Strange-Canady, MD
• Tiffany Strawter
• Streams of Life Counseling and Educational Services, LLC
• Sarah Madeline Stripling, PA-C

• Community Based Hospice Care Agency in Conyers, GA
• Providers in Conyers, 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 Jan 27, 2020; 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.