MEDICARE: SERENITY IN HOME, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1316879695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENITY IN HOME, LLC

Provider Business Mailing Address
First Line	:	887 W MARIETTA ST NW STE S106
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-5291
Country	:	US
Telephone Number	:	404-345-2981
Fax Number	:

Provider Business Practice Location Address
First Line	:	887 W MARIETTA ST NW STE S106
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-5291
Country	:	US
Telephone Number	:	404-345-2981
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELICA HUFF
Credential	:	CRNA
Telephone Number	:	404-345-2981

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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