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SERENITY LIFE HEALTHCARE NPI 1316452154


NPI Information

NPI: 1316452154
Provider Name: SERENITY LIFE HEALTHCARE
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
2470 WINDY HILL RD SE STE 417
MARIETTA, GA
ZIP 30067
Phone: (888) 801-1115
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SERENITY LIFE HEALTHCARE is an in home supportive care in Marietta, GA. The provider is 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. SERENITY LIFE HEALTHCARE NPI is 1316452154. The provider is registered as an organization entity type.

The provider's business location address is:

2470 WINDY HILL RD SE STE 417
MARIETTA, GA
ZIP 30067-625
Phone: (888) 801-1115
Fax: (678) 653-9603

The provider's authorized official is Candi Williams .
The authorized official title is Managing Director and has the following contact phone number (888) 801-1115.

The enumeration date for this NPI number is 12/1/2017 and was last updated on 4/19/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251300000XLocal Education Agency (LEA)No
2251E00000XHome HealthNo
3251G00000XHospice Care, Community BasedNo
4251J00000XNursing CareNo
5261QH0100XClinic/CenterHealth ServiceNo
6332B00000XDurable Medical Equipment & Medical SuppliesNo
7332U00000XHome Delivered MealsNo
8343900000XNon-emergency Medical Transport (VAN)No
9372600000XAdult CompanionNo
10374U00000XHome Health AideNo
11376K00000XNurse's AideNo
12385H00000XRespite CareNo
13253Z00000XIn Home Supportive CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003253807AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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