Serenity Bay Hospice 2, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SERENITY BAY HOSPICE 2, LLC

Practice address

2398 Lenora Church Rd Ste 103
Snellville, GA 30078-6921

Phone

(470) 414-1741

NPI assigned

Apr 10, 2024

Organization subpart

No

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

Authorized official

Name

Nalini SinghNPI 1215101670

Title

Chief Executive Officer

Phone

(678) 428-3059

Specialties & licenses 1

Addresses

Other names 1

• Serenity Bay Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Home health agency certification: CCN 851500

Legal name

SERENITY BAY HOSPICE 2 LLC

Doing business as

SERENITY BAY HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 4, 2019

Last certification

Jun 16, 2022

Ownership / control type

Other

Organization structure

LLCProprietary

Enrollment address

2398 Lenora Church Rd
Ste 103
Snellville, GA 30078-6921

Listed as

Serenity Bay HospiceCCN 851500

Ownership

For-Profit

Certified

Mar 4, 2019

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

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

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Grace Hospice Services LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Snellville, GA
  • NPI 1194230763

  Acquired from, 2024-03-13

  CMS change of ownership

Practitioners 1

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

• Nalini Singh, MD

  • Hospitalist Physician
  • Atlanta, GA
  • NPI 1215101670
  NPD Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Shital Patel, M.D.

  • Internal Medicine Physician
  • Pooler, GA
  • NPI 1639498181

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1992558753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 LENORA CHURCH RD STE 103",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786921",
            "telephone_number": "770-769-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 LENORA CHURCH RD STE 103",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786921",
            "telephone_number": "470-414-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY BAY HOSPICE 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "NALINI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "678-428-3059"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Bay Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Bay Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Snellville, GA
• Providers in Snellville, 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 Apr 29, 2024; 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.

Verify at the official NPI Registry.