Active NPI
Serenity First , LLC
- Community Based Hospice Care Agency
- Richmond, VA
National Provider Identifier
1730786138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EMR | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Jun 3, 2020 in VA
- Enrollment address
- 4915 Fitzhugh Ave
Richmond, VA 23230
Care Compare: Hospice
Medicare Care Compare- Listed as
- Serenity First LLC
- Ownership
- For-Profit
- Certified
- Apr 22, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Timothy M Hanold | 5% Or Greater Direct Ownership Interest | Aug 15, 2025 | 90% |
| Wade Williams | Corporate Director | Oct 1, 2020 | |
| Deborah June Johnston | 5% Or Greater Direct Ownership Interest | Aug 15, 2025 | 10% |
| Corporate Officer | Jun 3, 2021 | 100% | |
| Corporate Director | Jun 3, 2021 | 100% | |
| W-2 Managing Employee | 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.
-
- Family Nurse Practitioner
- Richmond, VA
- NPI 1659954329
-
- Family Medicine Physician
- Richmond, VA
- NPI 1144426354
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
- Rhitwika Sensharma, MD
- Sensory Penguin LLC
- John T Sentz, DO
- Serenity Advocates
- Serenity Counseling Services of Virginia, LLC
- Serenity House LLC
- Serenity Mental Health and Wellness LLC
- Serenity Mental Wellness Group LLC
- Serenity Renewed Holistic Wellness Center LLC
- Serenity Springs Wellness and Recovery
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.