Serenity Palliative and Hospice Care of Hillendale, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

033-0248-H Issued in GA

Legal business name

SERENITY PALLIATIVE AND HOSPICE CARE OF HILLENDALE, INC.

Practice address

2346 Wisteria Drive
Suite 120
Snellville, GA 30078-6174

Phone

(678) 413-2222

Fax

(678) 413-2221

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ian Kirt Ash

Title

Ceo

Phone

(770) 790-4146

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1730119017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 WISTERIA DRIVE",
            "address_2": "SUITE 120",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786174",
            "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": "2346 WISTERIA DRIVE",
            "address_2": "SUITE 120",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786174",
            "telephone_number": "678-413-2222",
            "fax_number": "678-413-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PALLIATIVE AND HOSPICE CARE OF HILLENDALE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "ASH",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "KIRT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-790-4146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "0330248H",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "033-0248-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890472845A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Snellville, GA
• Providers in Snellville, GA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.