Healthcare Provider Details

I. General information

NPI: 1134062011
Provider Name (Legal Business Name): SERENITY CARE AND TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E MAIN ST STE A1B-1055
BUFORD GA
30518-5727
US

IV. Provider business mailing address

115 E MAIN ST STE A1B-1055
BUFORD GA
30518-5727
US

V. Phone/Fax

Practice location:
  • Phone: 678-472-0369
  • Fax:
Mailing address:
  • Phone: 678-472-0369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ALICIA BROWN-WALKER
Title or Position: CEO
Credential: RN
Phone: 678-472-0369