Healthcare Provider Details

I. General information

NPI: 1235095498
Provider Name (Legal Business Name): LOVING HANDS SERENITY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2026
Last Update Date: 01/01/2026
Certification Date: 01/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5485 HEARN RD STE B
ELLENWOOD GA
30294-3240
US

IV. Provider business mailing address

5485 HEARN RD STE B
ELLENWOOD GA
30294-3240
US

V. Phone/Fax

Practice location:
  • Phone: 470-532-7998
  • Fax: 470-292-3229
Mailing address:
  • Phone: 470-532-7998
  • Fax: 470-292-3229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DANITA Y HOWARD
Title or Position: CEO /ADMINISTRATOR
Credential:
Phone: 470-532-7998