SERENITY ADULT DAY HEALTH, INC (NPI# 1548802937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548802937 |
| Entity Type | Organization |
| Organization Name | SERENITY ADULT DAY HEALTH, INC |
| Practice Address |
95 Truman Rd Hawkinsville GA 31036-4643 |
| Mailing Address |
Po Box 947 Perry GA 31069-0947 |
| Practice Telephone | 4787140246 |
| Mailing Telephone | 4787140246 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| Authorized Official Name | MR. JAMES N PETTIS (PRESIDENT) |
| Authorized Official Telephone | 4787140246 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 57 Martin Luther King Dr, Reynolds, GA 310762946 | 4788475772 | 4788475700 |
| 508 Main St S, Tifton, GA 317947030 | 4787140246 | |
| 105 Westcliff Blvd, Warner Robins, GA 310933019 | 4783025772 | 4783025773 |
| Street Address |
95 TRUMAN RD |
| City | HAWKINSVILLE |
| State | GA |
| Zip Code | 31036-4643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053733899 | Ashley Peavy | Registered Nurse | 1228 Perry Hwy, Hawkinsville, GA 31036 | 2014-01-14 |
| 1407145816 | Regina B Harrell | Pharmacist | #8 Surrey Plaza, Rite Aid Pharmacy, Hawkinsville, GA 31036 | 2011-04-06 |
| 1710286018 | Paige D Dawson | Pharmacist | 8 Surrey Plaza, Hawkinsville, GA 31036 | 2011-03-25 |
| 1770881849 | James Wooten O'neal IIi | Pharmacist | 8 Surry Plaza, Hawkinsville, GA 31036 | 2011-03-14 |
| 1174847818 | Rosario P Ceniza | Pediatrics | 12 Spring Valley Rd, Hawkinsville, GA 31036 | 2010-03-24 |
| 1568643773 | Amedisys Georgia L.L.C. | Home Health | 32 341 Bypass, Hawkinsville, GA 31036 | 2007-11-15 |
| 1417073560 | Institutional Pharmacy Solutions Inc | Pharmacy | 115 - B Commerce St., Hawkinsville, GA 31036 | 2007-03-21 |
| 1336211234 | Hawkinsville Dental Associates, LLC | Dentist | Route 4 Box 7085, Hawkinsville, GA 31036 | 2006-11-15 |
| 1447340567 | Larry David Gattis | Family Medicine | 412 Commerce St, Hawkinsville, GA 31036 | 2006-10-13 |
| 1184710857 | Myron Keith Lewis | Family Medicine | 292 Industrial Blvd., Suite 102, Hawkinsville, GA 31036 | 2006-10-04 |
| Find all providers in zip 31036 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481506 | Loving Hands Foundation Incorporated | Clinic/Center | 206 Union St, Lagrange, GA 30241-3343 | 2020-09-09 |
| 1356962443 | Southern Hospitality Adult Day Health Agency LLC | Clinic/Center | 3349 Northside Dr W, Statesboro, GA 30458-2178 | 2020-04-30 |
| 1497383038 | Sheryl Dornblaser | Clinic/Center | 1180 Mckendree Church Rd Ste 107, Lawrenceville, GA 30043-5207 | 2020-03-30 |
| 1720616386 | Rainbow Senior Care Home Inc | Clinic/Center | 4405 International Blvd Ste B101, Norcross, GA 30093-3013 | 2020-03-30 |
| 1932733201 | Perfect Care, Inc | Clinic/Center | 114 Sullivan Dr, Americus, GA 31709-5534 | 2020-02-26 |
| 1710524483 | Norman Graham | Clinic/Center | 125 Marquis Dr, Fayetteville, GA 30214-1566 | 2019-12-02 |
| 1134778749 | Marietta Seniors Club LLC | Clinic/Center | 748 Lawrence St Ne, Marietta, GA 30060-2144 | 2019-09-06 |
| 1629626445 | Wholecare Wellness LLC | Clinic/Center | 5390 Peachtree Industrial Blvd Ste 130, Norcross, GA 30071-1566 | 2019-08-27 |
| 1750936498 | Sec of Georgia Corp | Clinic/Center | 5522 New Peachtree Rd Ste 128, Atlanta, GA 30341-2544 | 2019-08-08 |
| 1801354774 | Tracie Chislom | Clinic/Center | 1002 W Solomon St, Griffin, GA 30223-2632 | 2019-03-08 |
| Find all providers with the same taxonomy | ||||
| City | HAWKINSVILLE |
| Zip Code | 31036 |
Please comment or provide details below to improve the information on SERENITY ADULT DAY HEALTH, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.