SERENITY PALLIATIVE AND HOSPICE CARE
NPI 1104021609
Hospice Care, Community Based in Valdosta, GA
NPI Status: Active since June 15, 2007
Contact Information
1205 BAYTREE RD
SUITE 5
VALDOSTA, GA
ZIP 31602
Phone: (229) 241-8338
Fax: (229) 241-8353
- Organization
- Hospice Care, Community Based
About SERENITY PALLIATIVE AND HOSPICE CARE
This page provides the complete NPI Profile along with additional information for Serenity Palliative And Hospice Care, a provider established in Valdosta, Georgia operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1104021609 assigned on June 2007. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Serenity Palliative And Hospice Care. The authorized official of this NPI record is Mr. Ian Ash Msw (Ceo)
- NPI
- 1104021609
- Provider Legal Name
- SERENITY PALLIATIVE AND HOSPICE CARE OF VALDOSTA, INC.
- Other Organization Name
- SERENITY PALLIATIVE AND HOSPICE CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1205 BAYTREE RD SUITE 5 VALDOSTA, GA 31602
- Location Phone
- (229) 241-8338
- Location Fax
- (229) 241-8353
- Mailing Address
- 1205 BAYTREE RD SUITE 5 VALDOSTA, GA 31602
- Mailing Phone
- (229) 241-8338
- Mailing Fax
- (229) 241-8353
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-15-2007
- Last Update Date
- 05-02-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111678 | MEDICARE OSCAR/CERTIFICATION (06) | GA | |
| 18063 | OTHER (01) | GA | STATE LICENSE |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 0 | 2 | 1 | 6 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 2 | 2 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 2 + 2 + 6 + 0 + 24 = 41 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 41 = 9 | 9 | ||||||||
The NPI number 1104021609 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104021609, enumerated in the NPI registry as an "organization" on June 15, 2007
The provider is located at 1205 Baytree Rd Suite 5 Valdosta, Ga 31602 and the phone number is (229) 241-8338
This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 15, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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