Organization Active NPI

Peaceful Waters Hospice LLC

  • Community Based Hospice Care Agency
  • Newnan, GA
National Provider Identifier
1912606393
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PEACEFUL WATERS HOSPICE LLC
Practice address
112 Jefferson St
Newnan, GA 30263-1421
Phone
(404) 545-7279
NPI assigned
Feb 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Nalini SinghNPI 1215101670
Title
Owner/Vice President
Phone
(404) 545-7279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

112 Jefferson St
Newnan, GA 30263-1421

Mailing address

403 Mount Paran Rd
Atlanta, GA 30327-3502
Phone (404) 545-7279

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1912606393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MOUNT PARAN RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273502",
            "telephone_number": "404-545-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631421",
            "telephone_number": "404-545-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL WATERS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "NALINI",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "404-545-7279"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.