Serenity Sheltering Arms PCH

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

044-01-733-1 Issued in GA

Legal business name

SERENITY SHELTERING ARMS PCH

Practice address

4750 Tara Creek TRL
Ellenwood, GA 30294-2025

Phone

(404) 241-5251

Fax

(404) 241-5349

NPI assigned

Jul 29, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Margaret Jean Wade

Title

Owner/Ceo

Phone

(678) 789-7655

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1811201072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 TARA CREEK TRL",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942025",
            "telephone_number": "404-241-5251",
            "fax_number": "404-241-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 TARA CREEK TRL",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942025",
            "telephone_number": "404-241-5251",
            "fax_number": "404-241-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SHELTERING ARMS PCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "678-789-7655",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "044-01-733-1",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "044-01-897-9",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "044-01-917-9",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Ellenwood, GA
• Providers in Ellenwood, 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 Jul 29, 2010; 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.