Organization Active NPI

Serenity Collective 360

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1467365809
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY COLLECTIVE 360
Practice address
4255 Watauga Dr
Atlanta, GA 30349-1519
Phone
(404) 330-9300
NPI assigned
Sep 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Edwina Brumbaugh
Title
President/Office Manager
Phone
(407) 252-3445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4255 Watauga Dr
Atlanta, GA 30349-1519

Mailing address

1445 Woodmont LN NW # 2227
Atlanta, GA 30318-2866
Phone (404) 330-9300

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1467365809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WOODMONT LN NW # 2227",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "404-330-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 WATAUGA DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303491519",
            "telephone_number": "404-330-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COLLECTIVE 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "BRUMBAUGH",
        "authorized_official_first_name": "EDWINA",
        "authorized_official_title_or_position": "PRESIDENT/OFFICE MANAGER",
        "authorized_official_telephone_number": "407-252-3445"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.