Organization Active NPI

Serenity Care Community LLC

  • Home Health Agency
  • Fayetteville, GA
National Provider Identifier
1720751167
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY CARE COMMUNITY LLC
Practice address
123 N Park Dr Ste T
Fayetteville, GA 30214-1642
Phone
(404) 757-3248
NPI assigned
Jul 30, 2021
Last updated
Apr 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Latasha LawrenceNPI 1699537431
Title
Ceo
Phone
(630) 532-9648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Non-emergency Medical Transport (VAN) 343900000X
Respite Care 385H00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

123 N Park Dr Ste T
Fayetteville, GA 30214-1642

Mailing address

123 N Park Dr Ste T
Fayetteville, GA 30214-1642
Phone (404) 757-3248

National Provider Directory

National Provider Directory

Locations

123 N Park Dr
Ste T
Fayetteville, GA 30214
Phone (404) 757-3248

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1720751167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N PARK DR STE T",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141642",
            "telephone_number": "404-757-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N PARK DR STE T",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141642",
            "telephone_number": "404-757-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE COMMUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-532-9648"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.