SERENITY PALLIATIVE AND HOSPICE CARE OF HILLENDALE INC. NPI 1730119017

NPI Information

NPI: 1730119017
Provider Name: SERENITY PALLIATIVE AND HOSPICE CARE OF HILLENDALE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2346 WISTERIA DRIVE
SUITE 120
SNELLVILLE, GA
ZIP 30078
Phone: (678) 413-2222
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SERENITY PALLIATIVE AND HOSPICE CARE OF HILLENDALE, INC. is a hospice care community based in Snellville, GA. SERENITY PALLIATIVE AND HOSPICE CARE OF HILLENDALE, INC. NPI is 1730119017. The provider is registered as an organization entity type.

The provider's business location address is:

2346 WISTERIA DRIVE
SUITE 120
SNELLVILLE, GA
ZIP 30078-174
Phone: (678) 413-2222
Fax: (678) 413-2221

The provider's authorized official is Ian Kirt Ash .
The authorized official title is Ceo and has the following contact phone number (770) 790-4146.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 9/26/2012.

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	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		0330248H	GEORGIA	No
2	251G00000X	Hospice Care, Community Based		033-0248-H	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	890472845A	MEDICAID	GEORGIA
2	111653	MEDICARE OSCAR/CERTIFICATION	GEORGIA

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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