SERENITY LIFE HEALTHCARE (NPI# 1316452154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316452154 |
| Entity Type | Organization |
| Organization Name | SERENITY LIFE HEALTHCARE |
| Practice Address |
2500 Dallas Hwy Sw Ste 202-1068 Marietta GA 30064-2567 |
| Practice Telephone | 8888011115 |
| Mailing Telephone | 8888011115 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2020-10-10 |
| Authorized Official Name | CANDI HUDSON (MANAGING DIRECTOR) |
| Authorized Official Telephone | 8888011115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251300000X | Local Education Agency (LEA) | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332U00000X | Home Delivered Meals | Suppliers | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Serenity Home Care | Doing Business As Name - Organization |
| Serenity Home Health LLC | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Parkwood Cir Se Ste 900, Atlanta, GA 303392140 | 8774088631 | 7708705612 |
| Street Address |
2500 DALLAS HWY SW STE 202-1068 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415391 | Pure Guardian Care LLC | In Home Supportive Care | 2599 Candler Way Sw, Marietta, GA 30064-4270 | 2020-07-30 |
| 1982221693 | North Fulton Medical Consultants | In Home Supportive Care | 3162 Johnson Ferry Rd Ste 260-425, Marietta, GA 30062-7604 | 2020-06-29 |
| 1619598257 | Truvita Corp. | In Home Supportive Care | 324 Cherokee St Ne, Marietta, GA 30060-1389 | 2020-05-06 |
| 1871112342 | 4 Seasons Home Care, Inc. | In Home Supportive Care | 78 Cole St Ne Ste 100, Marietta, GA 30060-2020 | 2020-04-14 |
| 1982161642 | Sunrise Horizons, LLC | In Home Supportive Care | 3724 Langley Oaks Pl Se, Marietta, GA 30067-4978 | 2019-02-28 |
| 1285119693 | Precious Angel Home Care Services Inc | In Home Supportive Care | 2470 Windy Hill Rd Se Ste 253, Marietta, GA 30067-8619 | 2018-10-02 |
| 1720561020 | Tripmar Enterprises Inc | In Home Supportive Care | 2000 First Dr Ste 320, Marietta, GA 30062-7741 | 2018-09-12 |
| 1386159408 | Better At Home LLC | In Home Supportive Care | 732 Kennesaw Ave Nw Ste 250, Marietta, GA 30060-9406 | 2017-12-12 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1619339793 | Jack Redmond Home Care Inc. | In Home Supportive Care | 1000 Whitlock Ave Nw Ste 320, Marietta, GA 30064-5449 | 2016-03-28 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on SERENITY LIFE HEALTHCARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.