Organization Active NPI

Serenity Home Care, LLC

  • Home Health Agency
  • Duluth, GA
National Provider Identifier
1942587720
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
067-R-0948 Issued in GA
Legal business name
SERENITY HOME CARE, LLC
Practice address
2730 N Berkeley Lake Rd NW
1200-(105)
Duluth, GA 30096-1748
Phone
(678) 768-5696
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Authorized official

Name
Mrs. Celestina Aniekwe, RN
Title
Administrator
Phone
(678) 768-5696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 067-R-0948 GA Primary

Addresses

Primary practice location

2730 N Berkeley Lake Rd NW
1200-(105)
Duluth, GA 30096-1748

Mailing address

2730 N Berkeley Lake Rd NW
Building 1200, Suite105
Duluth, GA 30096-1748
Phone (678) 768-5696

National Provider Directory

National Provider Directory

Locations

2730 N Berkeley Lake Rd NW
Ste 1200
Duluth, GA 30096

2730 N Berkeley Lake Rd NW
#1200105
Duluth, GA 30096
Phone (678) 768-5696

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1942587720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 N BERKELEY LAKE RD NW",
            "address_2": "BUILDING 1200, SUITE105",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961748",
            "telephone_number": "678-768-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 N BERKELEY LAKE RD NW",
            "address_2": "1200-(105)",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961748",
            "telephone_number": "678-768-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "ANIEKWE",
        "authorized_official_first_name": "CELESTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-768-5696",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "067-R-0948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.