Organization Active NPI

Serenity Empire at East Point

  • Assisted Living Facility
  • Douglasville, GA
National Provider Identifier
1932928777
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SERENITY EMPIRE AT EAST POINT
Practice address
5390 Yeager Rd
Douglasville, GA 30135-4850
Phone
(770) 875-5064
NPI assigned
Oct 8, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Henrietta EsselNPI 1841970969
Title
Empress
Phone
(770) 875-5064

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

5390 Yeager Rd
Douglasville, GA 30135-4850

Mailing address

3409 Washington Rd
East Point, GA 30344-5652

National Provider Directory

National Provider Directory

Locations

3409 Washington Rd
East Point, GA 30344
Phone (770) 875-5064

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": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1932928777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 WASHINGTON RD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5390 YEAGER RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354850",
            "telephone_number": "770-875-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY EMPIRE AT EAST POINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "ESSEL",
        "authorized_official_first_name": "HENRIETTA",
        "authorized_official_title_or_position": "EMPRESS",
        "authorized_official_telephone_number": "770-875-5064"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.