Serenity Personal Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERENITY PERSONAL CARE HOME

Practice address

7070 Bowie Dr
Lithonia, GA 30038-7527

Phone

(770) 696-1299

Fax

(770) 728-9016

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Takela Renee Levett

Title

Owner

Phone

(678) 923-6654

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174681944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7070 BOWIE DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300387527",
            "telephone_number": "770-696-1299",
            "fax_number": "770-728-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 BOWIE DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300387527",
            "telephone_number": "770-696-1299",
            "fax_number": "770-728-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVETT",
        "authorized_official_first_name": "TAKELA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-923-6654",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.