Organization Active NPI

Serenity Hospice Care LLC

  • Community Based Hospice Care Agency
  • Dublin, GA
National Provider Identifier
1609987387
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
087-0246-H Issued in GA
Legal business name
SERENITY HOSPICE CARE LLC
Practice address
1700 Veterans Blvd
Dublin, GA 31021-3502
Phone
(478) 272-2015
Fax
(478) 272-4691
NPI assigned
Aug 31, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Pamela Duncan
Title
Chef Compliance Officer
Phone
(800) 932-2738

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 32

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 32

Practitioners 1

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

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Hospice

Medicare Care Compare
Listed as
Georgia Hospice CareCCN 111638
Ownership
For-Profit
Certified
Oct 12, 2006
Medicare certification status
Active (Provider of Services file)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1080256Serenity Hospice Care LLC Dba Georgia Hospice Care1700 Veterans Blvd, Dublin, GA 31021Certificate of waiverFeb 18, 2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Hospice certification: CCN 111638

Medicare enrollment files
Legal name
SERENITY HOSPICE CARE LLC
Doing business as
GEORGIA HOSPICE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 12, 2006
Last certification
Mar 17, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Feb 7, 2006 in GA
Enrollment address
1111 Hillcrest Pkwy
Ste C
Dublin, GA 31021-3555

All disclosed owners & managing parties 23

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jordan Crumley Individual W-2 Managing Employee Jun 23, 2021
Linden Capital Partners V-a LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 16.31%
Acg Intermediate, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Rep Coinvest III Agp Blocker, Inc Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 28.41%
Troy Yarborough Individual Corporate OfficerCeo Jun 23, 2021
Hayley Eby Individual W-2 Managing Employee Feb 1, 2023
CDPQ Fonds 780, S.E.C Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 20.53%
Acg Parent Holdings, LP Organization, Wilmington, DE 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Arrow Management Holdings LLC Organization, Wilmington, DE LLC, Holding company 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Linden Investments III LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 14.33%
Rep Agp II Holdco, LP Organization, Charlotte, NC 5% Or Greater Indirect Ownership Interest Jul 25, 2025 28.23%
Janelle I Plows Individual W-2 Managing Employee Jun 23, 2021
Marsha Hayes Individual W-2 Managing Employee Jun 23, 2021
Acg Intermediary LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
TVG HCSC Blocker, LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Jul 25, 2025 15.61%
Donald R Nelson Individual Contracted Managing EmployeeMedical Director Jan 1, 2022
Pamela a Duncan Owens Individual Corporate OfficerCco Jun 23, 2021
Rep Agp III Blocker, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 9.82%
Linden Capital Partners V LP Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 25, 2025 10.39%
Acg Buyer, Inc. Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Jul 25, 2025 100%
Rhonda Hamilton Individual Corporate OfficerChief Accounting Officer Mar 1, 2025
Dustin Williamson Individual W-2 Managing EmployeeAdministrator Nov 16, 2021
Acg Acquisition LLC Organization, Spartanburg, SC LLC 5% Or Greater Direct Ownership Interest Jul 25, 2025 100%

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20060926000069 GA Part a Provider - Hospice 8729083795 Practice locations: Dublin, GA; Milledgeville, GA; Vidalia, GA

National Provider Directory

National Provider Directory
Tax ID family
Serenity Hospice Care LLC (2 organizations share this tax ID)

Locations

4 Bradley Park Ct
Ste 2H
Columbus, GA 31904
Phone (706) 230-9192

1111 Hillcrest Pkwy
Ste C
Dublin, GA 31021
Phone (888) 428-7348

1700 Veterans Blvd
Dublin, GA 31021
Phone (478) 272-2015

1111 Hillcrest Pkwy
Dublin, GA 31021

504 Parker Dairy Rd
Dublin, GA 31021
Phone (888) 428-7348

520 Hillcrest Pkwy
Dublin, GA 31021
Phone (478) 272-2015

2601 N Columbia St
Ste F
Milledgeville, GA 31061

341 N Cobb St
Milledgeville, GA 31061
Phone (888) 428-7348

100 SW Main St
Vidalia, GA 30474
Phone (888) 428-7348

304 W 1st St
Vidalia, GA 30474

125 Church St
Ste 100
Vidalia, GA 30474
Phone (888) 428-7348

645 Tallulah Trl
Ste 202
Warner Robins, GA 31088
Phone (478) 929-1616

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 087-0246-H GA Primary

Addresses

NPPES NPI Registry

Primary practice location

1700 Veterans Blvd
Dublin, GA 31021-3502

Mailing address

187 N Church St Ste 201
Spartanburg, SC 29306-5154
Phone (800) 932-2738

Other practice location 1

125 Church St Ste 100
Vidalia, GA 30474-4785
Phone (888) 428-7348

Other practice location 2

341 N Cobb St
Milledgeville, GA 31061-2683
Phone (888) 428-7348

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
498506621AMedicaidGA

Other names 1

NPPES NPI Registry
  • Georgia Hospice Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 5, 2026.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1609987387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 N CHURCH ST STE 201",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065154",
            "telephone_number": "800-932-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 VETERANS BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213502",
            "telephone_number": "478-272-2015",
            "fax_number": "478-272-4691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Church St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304744785",
            "country_code": "US",
            "telephone_number": "888-428-7348",
            "fax_number": "912-537-3128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 N Cobb St",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310612683",
            "country_code": "US",
            "telephone_number": "888-428-7348",
            "fax_number": "478-454-1889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CHEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "800-932-2738"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "087-0246-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498506621A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.