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WELLINGTONPLACE OF SERENITY
NPI 1619310414
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Johns Creek, GA

Active since April 10, 2013
240 AMBERTON CT, JOHNS CREEK, GA 30097(404) 423-3973 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellingtonplace Of Serenity NPPES

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

WELLINGTONPLACE OF SERENITY (NPI 1619310414) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Johns Creek, Georgia and active in the NPI registry since April 2013. The organization lists Laura Elizabeth Jaka, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619310414
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameWELLINGTONPLACE OF SERENITY
Location Address240 AMBERTON CTJohns Creek, GA 30097-1896
Mailing Address240 Amberton CtJohns Creek, GA 30097-1896 · (404) 423-3973
Phone(404) 423-3973
Organization SubpartNo
Authorized OfficialLaura Elizabeth JakaExecutive Director · (404) 423-3973
Enumeration DateApril 10, 2013
✔ NPI 1619310414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in GA · 0009922
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
240 AMBERTON CT, Johns Creek, GA 30097
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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 Wellingtonplace Of Serenity's NPI number?

The NPI number for Wellingtonplace Of Serenity is 1619310414. It was assigned to this organization in the NPPES registry on April 10, 2013.

Where is Wellingtonplace Of Serenity located?

Wellingtonplace Of Serenity is located at 240 Amberton Ct, Johns Creek, GA 30097. The listed phone number is (404) 423-3973.

What is Wellingtonplace Of Serenity's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Wellingtonplace Of Serenity was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.