Active NPI
Serenity Home Care, LLC
- Home Health Agency
- Duluth, GA
National Provider Identifier
1942587720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 067-R-0948
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.