Serenity Home Care of Atlanta

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SERENITY HOME CARE OF ATLANTA

Practice address

3755 Busby Mill CT
Ellenwood, GA 30294-2059

Phone

(404) 437-5039

NPI assigned

Jun 29, 2023

Organization subpart

No

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

Authorized official

Name

Renita C Moore Graves, CPC, CPAR

Title

Director

Phone

(404) 437-5039

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1851078067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 BUSBY MILL CT",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942059",
            "telephone_number": "404-437-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 BUSBY MILL CT",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942059",
            "telephone_number": "404-437-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "MOORE GRAVES",
        "authorized_official_first_name": "RENITA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-437-5039",
        "authorized_official_credential": "CPC, CPAR"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Andre Sawyer, MD
• Charles Schmidt, DC
• Teresinia Lanae Scott, APN
• Serene Pathways Enterprises LLC.
• Serene Pathways Enterprises LLC.
• Serenity Sheltering Arms PCH
• Serenity4Life, LLC
• Alvina C Shannon, PA-C
• Sharon Health Services LLC
• Sharon Medical Transportation LLC

• Adult Care Home Facility in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.