SERENITY HEALTH CARE AND HOSPICE (NPI# 1619093788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619093788 |
| Entity Type | Organization |
| Organization Name | SERENITY HEALTH CARE AND HOSPICE |
| Practice Address |
1380 Milstead Ave Ne Suite H Conyers GA 30012-3864 |
| Practice Telephone | 6784131360 |
| Practice Fax Number | 6784131359 |
| Mailing Telephone | 6784131360 |
| Mailing Fax Number | 6784131359 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TRACY L WOOD (ADMINISTRATOR) |
| Authorized Official Telephone | 7709221026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
1380 MILSTEAD AVE NE SUITE H |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609845403 | Jack Donald James | Specialist | 1380 Milstead Ave Ne, Suite B, Conyers, GA 30012-3864 | 2006-03-15 |
| 1932507423 | Md Precision Lab | Clinical Medical Laboratory | 1380 Milstead Ave Ne, Ste J, Conyers, GA 30012-3864 | 2014-12-15 |
| 1063752913 | Conyers Internal Medicine LLC | Internal Medicine | 1380 Milstead Ave Ne, Ste C, Conyers, GA 30012-3864 | 2013-02-28 |
| 1275872632 | Colon & Digestive Health Specialists LLC | Internal Medicine | 1380 Milstead Ave Ne, Ste C, Conyers, GA 30012-3864 | 2013-02-05 |
| 1295008563 | Shiraz Habib Kassam | Obstetrics & Gynecology | 1380 Milstead Ave Ne, Conyers, GA 30012-3864 | 2012-02-17 |
| 1346538881 | Julianne Adams Birt, Md, LLC | Obstetrics & Gynecology | 1380 Milstead Ave Ne, Suite F, Conyers, GA 30012-3864 | 2011-07-19 |
| 1467613232 | Pediatric Cardiology Services LLC | Pediatrics | 1380 Milstead Ave Ne, Suite J, Conyers, GA 30012-3864 | 2008-06-24 |
| 1639216450 | Holly Anne Imlach | Obstetrics & Gynecology | 1380 Milstead Ave Ne, Suite E, Conyers, GA 30012-3864 | 2007-01-31 |
| 1699823245 | The Atlanta Cardioloyg Group, PC | Internal Medicine | 1380 Milstead Ave Ne, Suite E, Conyers, GA 30012-3864 | 2007-01-08 |
| 1700946258 | Karim Shakoor, M.d.,p.c. | Internal Medicine | 1380 Milstead Ave Ne, Suite-c, Conyers, GA 30012-3864 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242026 | Champions Nursing Services, LLC | Hospice Care, Community Based | 2365 Wall St Se Ste 210, Conyers, GA 30013-2197 | 2020-07-07 |
| 1295366557 | Still Waters Healthcare, LLC | Hospice Care, Community Based | 2890 Georgia Highway 212 Sw Ste A-303, Conyers, GA 30094-3363 | 2020-01-27 |
| 1598203358 | Innovative Nursing Solutions and Hospice Care LLC | Hospice Care, Community Based | 1818 Lakefield Ct Se Ste B, Conyers, GA 30013-6610 | 2017-02-01 |
| 1811308943 | Hospice Nurses of Georgia, LLC | Hospice Care, Community Based | 2385 Wall Street Se, Suite 119, Conyers, GA 30013 | 2014-05-12 |
| 1144461997 | Medi Caregivers, Inc | Hospice Care, Community Based | 1172 Old Salem Rd Se, Conyers, GA 30094-5944 | 2009-03-08 |
| 1104031863 | At Home Healthcare and Hospice LLC | Hospice Care, Community Based | 1051 Culpepper Dr Sw # 100, Conyers, GA 30094-5986 | 2007-05-14 |
| 1649342536 | Serenity Palliative and Hospice Care | Hospice Care, Community Based | 1475 Klondike Rd Sw, Ste 100, Conyers, GA 30094-5174 | 2006-11-15 |
| 1588625925 | Hillcrest Hospice, Inc | Hospice Care, Community Based | 1374 Manchester Dr Ne, Conyers, GA 30012-3881 | 2006-03-28 |
| 1801493937 | Champion Nursing Services, Inc | Hospice Care, Community Based | 2365 Wall St Se Ste 210, Conyers, GA 30013-2197 | 2020-10-01 |
| 1396169074 | Magnolia Hospice, LLC | Hospice Care, Community Based | 1374 Manchester Dr Ne, Conyers, GA 30012-3881 | 2014-02-14 |
| Find all providers in CONYERS | ||||
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| 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.