SERENITY SHELTERING ARMS PCH NPI 1811201072

NPI Information

NPI: 1811201072
Provider Name: SERENITY SHELTERING ARMS PCH
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
4750 TARA CREEK TRL
ELLENWOOD, GA
ZIP 30294
Phone: (404) 241-5251
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SERENITY SHELTERING ARMS PCH is a hospice care community based in Ellenwood, GA. SERENITY SHELTERING ARMS PCH NPI is 1811201072. The provider is registered as an organization entity type.

The provider's business location address is:

4750 TARA CREEK TRL
ELLENWOOD, GA
ZIP 30294-025
Phone: (404) 241-5251
Fax: (404) 241-5349

The provider's authorized official is Margaret Jean Wade .
The authorized official title is Owner/ceo and has the following contact phone number (678) 789-7655.

The enumeration date for this NPI number is 7/29/2010 and was last updated on 7/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based	044-01-897-9	GEORGIA	No
2	251G00000X	Hospice Care, Community Based	044-01-917-9	GEORGIA	No
3	251G00000X	Hospice Care, Community Based	044-01-733-1	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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