Provider Demographics
NPI:1093760373
Name:SERENITY HOSPICE GROUP, INC.
Entity Type:Organization
Organization Name:SERENITY HOSPICE GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SHINDELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:912-925-1905
Mailing Address - Street 1:37 W FAIRMONT AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3455
Mailing Address - Country:US
Mailing Address - Phone:912-925-1905
Mailing Address - Fax:912-925-1765
Practice Address - Street 1:37 W FAIRMONT AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3455
Practice Address - Country:US
Practice Address - Phone:912-925-1905
Practice Address - Fax:912-925-1765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251G00000X251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based