# SERENITY LIFE HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316452154
- **Authorized official:** CANDI WILLIAMS (MANAGING DIRECTOR)
- **Authorized official phone:** (888) 801-1115

## Contact information

- **Practice address:** 2470 WINDY HILL RD SE STE 417, MARIETTA, GA 30067-8625
- **Practice address phone:** (888) 801-1115
- **Practice address fax:** (678) 653-9603
- **Mailing address:** 2470 WINDY HILL RD SE STE 417, MARIETTA, GA 30067-8625
- **Mailing address phone:** (888) 801-1115
- **Mailing address fax:** (678) 653-9603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332U00000X | Home Delivered Meals | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 376K00000X | Nurse's Aide | — | NULL | — |
| 376K00000X | Nurse's Aide | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 12/01/2017
- **Last updated:** 04/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003253807A | — | GA |