Wellingtonplace of Serenity

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

0009922 Issued in GA

Legal business name

WELLINGTONPLACE OF SERENITY

Practice address

240 Amberton CT
Johns Creek, GA 30097-1896

Phone

(404) 423-3973

NPI assigned

Apr 10, 2013

Organization subpart

No

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

Authorized official

Name

Laura Elizabeth Jaka

Title

Executive Director

Phone

(404) 423-3973

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1619310414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 AMBERTON CT",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971896",
            "telephone_number": "404-423-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 AMBERTON CT",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971896",
            "telephone_number": "404-423-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTONPLACE OF SERENITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "JAKA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-423-3973"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "0009922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha Kent Weaver, LCSW
• Robert M Weinberg, MD
• Alicia J Weissgerber, CRNA
• Meredith Weitnauer
• Harmon Saul Weitzman, CRNA
• Wellness Transport of Georgia, LLC
• Daneka Y West
• Grayson Leigh West, LPC
• Shanquan West
• Nikeisha Whatley

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.