SERENITY MEDICAL LLC NPI 1326017021

NPI Information

NPI: 1326017021
Provider Name: SERENITY MEDICAL, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1198 BUCKHEAD XING
SUITE B
WOODSTOCK, GA
ZIP 30189
Phone: (770) 591-0704
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SERENITY MEDICAL, LLC is a durable medical equipment medical supplies in Woodstock, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SERENITY MEDICAL, LLC NPI is 1326017021. The provider is registered as an organization entity type.

The provider's business location address is:

1198 BUCKHEAD XING
SUITE B
WOODSTOCK, GA
ZIP 30189-257
Phone: (770) 591-0704
Fax: (770) 591-9433

The provider's authorized official is Patrick Kniery .
The authorized official title is Owner and has the following contact phone number (770) 591-0704.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 3/30/2010.

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	332B00000X	Durable Medical Equipment & Medical Supplies				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	3912990001	MEDICARE ID-TYPE UNSPECIFIED
2	000905198A	MEDICAID	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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