Organization Active NPI

Serenity First , LLC

  • Community Based Hospice Care Agency
  • Richmond, VA
National Provider Identifier
1730786138
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SERENITY FIRST , LLC
Practice address
4915 Fitzhugh Ave
Richmond, VA 23230-3544
Phone
(804) 562-5777
Fax
(804) 562-5730
NPI assigned
Oct 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Ms. Deborah J Johnston
Title
Owner
Phone
(804) 562-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4915 Fitzhugh Ave
Richmond, VA 23230-3544

Mailing address

4915 Fitzhugh Ave
Richmond, VA 23230-3544
Phone (804) 562-5777

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210311002199 VA Part A Provider - Hospice 4688080906 Practice locations: Richmond, VA

Hospice certification: CCN 491638

Legal name
SERENITY FIRST LLC
Doing business as
SERENITY FIRST HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 22, 2021
Last certification
Apr 22, 2021
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Jun 3, 2020 in VA
Enrollment address
4915 Fitzhugh Ave
Richmond, VA 23230

Care Compare: Hospice

Medicare Care Compare
Listed as
Serenity First LLCCCN 491638
Ownership
For-Profit
Certified
Apr 22, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4915 Fitzhugh Ave
Richmond, VA 23230
Phone (804) 562-5777

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Timothy M Hanold Individual 5% Or Greater Direct Ownership InterestOwner Aug 15, 2025 90%
Wade Williams Individual Corporate DirectorDir Oct 1, 2020
Deborah June Johnston Individual 5% Or Greater Direct Ownership Interest Aug 15, 2025 10%
Corporate OfficerCeo/Owner Jun 3, 2021 100%
Corporate DirectorCeo/Owner Jun 3, 2021 100%
W-2 Managing EmployeeCeo/ Jun 3, 2021 100%

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1730786138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 FITZHUGH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303544",
            "telephone_number": "804-562-5777",
            "fax_number": "804-562-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 FITZHUGH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303544",
            "telephone_number": "804-562-5777",
            "fax_number": "804-562-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY FIRST , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-562-5777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "4915 Fitzhugh Ave",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232303544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.