Organization Active NPI

Serene Gardens

Doing business as Serene Home Care Services

  • Intellectual Disabilities Intermediate Care Facility
  • Alpharetta, GA
National Provider Identifier
1134310675
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
SERENE GARDENS
Doing business as
Serene Home Care Services
Practice address
190 Stone Pond LN
Alpharetta, GA 30022-5542
Phone
(404) 665-6169
Fax
(404) 759-2646
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Ms. Marguerita Benjamin, LPN
Title
Executive Administrator
Phone
(404) 665-6169

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Adult Day Care Clinic/Center 261QA0600X
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X GA
Private Vehicle 347C00000X

Addresses

Primary practice location

190 Stone Pond LN
Alpharetta, GA 30022-5542

Mailing address

190 Stone Pond LN
Alpharetta, GA 30022-5542
Phone (404) 665-6169

Other names 1

  • SERENE HOME CARE SERVICES Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1134310675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 STONE POND LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225542",
            "telephone_number": "404-665-6169",
            "fax_number": "404-759-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 STONE POND LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225542",
            "telephone_number": "404-665-6169",
            "fax_number": "404-759-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE GARDENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "MARGUERITA",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "404-665-6169",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERENE HOME CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.