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SERENITY REHABILITATION AND THERAPY, LLC.
NPI 1821806068
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Lawrenceville, GA

Active since December 19, 2024
3405 SWEETWATER RD 422, LAWRENCEVILLE, GA 30044(561) 889-8812 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Rehabilitation, Comprehensive Outpatient...

About SERENITY REHABILITATION AND THERAPY, LLC.

This page provides the complete NPI Profile along with additional information for Serenity Rehabilitation And Therapy, Llc., a provider established in Lawrenceville, Georgia operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1821806068 assigned on December 2024. The practitioner's primary taxonomy code is 261QR0401X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Miss Nishelle Antoinette Thimote-heraldo Otr (Ceo/member)

NPI
1821806068 Verify this NPI
Provider Name
SERENITY REHABILITATION AND THERAPY, LLC.
Entity Type
Organization
Location Address
3405 SWEETWATER RD 422 LAWRENCEVILLE, GA 30044
Location Phone
(561) 889-8812
Mailing Address
3405 SWEETWATER RD 422 LAWRENCEVILLE, GA 30044
Mailing Phone
(561) 889-8812
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2024
Last Update Date
12-19-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISS NISHELLE ANTOINETTE THIMOTE-HERALDO OTR

Authorized Official Title
CEO/MEMBER
Authorized Official Phone
(561) 889-8812

Reviews for SERENITY REHABILITATION AND THERAPY, LLC.

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Frequently Asked Questions

What is SERENITY REHABILITATION AND THERAPY, LLC.'s NPI number?

The NPI number assigned to this healthcare provider is 1821806068, enumerated as an "organization" on December 19, 2024.

Where is the provider located?

The provider is located at 3405 SWEETWATER RD 422 LAWRENCEVILLE, GA 30044 and the phone number is (561) 889-8812.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).