Organization Active NPI

Serenity South Health Services

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1104376631
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
060-R-1676 Issued in GA
Legal business name
SERENITY SOUTH HEALTH SERVICES
Practice address
1654 Athens Ave SW
Atlanta, GA 30310-4742
Phone
(678) 948-7352
NPI assigned
Oct 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Georginna Lockett
Title
Administrator
Phone
(678) 948-7352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 060-R-1676 GA Primary

Addresses

Primary practice location

1654 Athens Ave SW
Atlanta, GA 30310-4742

Mailing address

541 10TH St NW
Atlanta, GA 30318-5713
Phone (678) 948-7352

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1104376631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 10TH ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185713",
            "telephone_number": "678-948-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 ATHENS AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303104742",
            "telephone_number": "678-948-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SOUTH HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "LOCKETT",
        "authorized_official_first_name": "GEORGINNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-948-7352"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "060-R-1676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.