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SERENITY ASSISTED LIVING LLC
NPI 1568304855
Assisted Living Facility in Sparks, GA

Active since April 07, 2026

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Serenity Assisted Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY ASSISTED LIVING LLC (NPI 1568304855), doing business as Serenity, is a healthcare organization registered as an assisted living facility in Sparks, Georgia and active in the NPI registry since April 2026. The organization lists James Pettis, President, as its authorized official.

NPPES Registry Identity

NPI1568304855
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSERENITY ASSISTED LIVING LLC
Location Address206 PINE STSparks, GA 31647-7422
Mailing AddressPo Box 947Perry, GA 31069-0947 · (478) 714-0246
Phone(229) 549-6620
Organization SubpartNo
Authorized OfficialJames PettisPresident · (478) 714-0246
Enumeration DateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1568304855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
206 PINE ST, Sparks, GA 31647
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Other Names 1

Doing Business AsSerenity

Other Identifiers 1

Medicaid046652606AGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Assisted Living LLC's NPI number?

The NPI number for Serenity Assisted Living LLC is 1568304855. It was assigned to this organization in the NPPES registry on April 7, 2026. The provider is doing business as Serenity.

Where is Serenity Assisted Living LLC located?

Serenity Assisted Living LLC is located at 206 Pine St, Sparks, GA 31647. The listed phone number is (229) 549-6620.

What is Serenity Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Serenity Assisted Living LLC was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.