Serenity Palliative and Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

033-0248H Issued in GA

Legal business name

SERENITY PALLIATIVE AND HOSPICE CARE

Practice address

1475 Klondike Rd SW
Ste 100
Conyers, GA 30094-5174

Phone

(678) 413-2222

Fax

(678) 413-2221

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dorna Fakhrabadi

Title

Ceo

Phone

(678) 413-2222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1649342536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 KLONDIKE RD SW",
            "address_2": "SUITE 100",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945174",
            "telephone_number": "678-413-2222",
            "fax_number": "678-413-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 KLONDIKE RD SW",
            "address_2": "STE 100",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945174",
            "telephone_number": "678-413-2222",
            "fax_number": "678-413-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PALLIATIVE AND HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "FAKHRABADI",
        "authorized_official_first_name": "DORNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-413-2222"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "033-0248H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 31, 2008; 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.