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In-home care

Saint Mary's Independent Living Extensions (Smile)

In-home care in Lawrenceville, Georgia

Checked November 5, 2026

Provider details
Address120 GLOSTER ROAD, NW SUITE 3
CityLawrenceville
StateGeorgia
ZIP code30044
CountyGwinnett
Phone770-279-5115
Websitehttps://smile4.info/
Emailjmartinez@smile4.info
License numberPHCP003227
License typePrivate Home Care Provider — Georgia Dept. of Community Health, Healthcare Facility Regulation (Rules Ch. 111-8-65)
Licensing statusActive
Care typesin-home care
Services offeredpersonal care and home care services as licensed
CMS quality noteLicensed by the Georgia Department of Community Health, Healthcare Facility Regulation Division.

Saint Mary's Independent Living Extensions (Smile) is in 120 GLOSTER ROAD, NW SUITE 3, Lawrenceville, GA 30044. Phone: 770-279-5115. It is a Private Home Care Provider (license PHCP003227, status Active) licensed by the Georgia Department of Community Health, Healthcare Facility Regulation Division.

More about this provider

St. Mary's Independent Living Extensions (SMILE) describes itself as a nonprofit organization of trained caregivers who work around-the-clock to enrich the lives of adults with developmental disabilities by maximizing independence, breaking down barriers and advocating for greater community access. Its mission is to provide adults with intellectual and developmental disabilities with compassionate, supportive encouragement so they can make meaningful connections and thrive in the communities where they live, work and play. It is a faith-based agency founded by Executive Director Paul Pieper.
Services and programsHomes for Independent Living — person-centered residential services including Community Residential Alternatives (small group homes of 1–4 people with 24/7 support) and Community Living Supports (person lives in their own home with 1–3 housemates, with scheduled staff support); one-on-one 24-hour assistance tailored to each client's needs; and an engaging Day Program with onsite classroom and community settings, including community outings and activities, skill building (cooking, money management, transportation, social skills, personal care, household tasks), and supervision of participant self-administered medications by trained direct care professionals with Registered Nurse oversight if needed.
Who it servesAdults with intellectual and developmental disabilities (I/DD and autism) — the developmentally delayed/disabled adult community.
Visiting and contact detailsContact is via the contact form on the site's Contact Us page (name, number, email and message; SMILE says someone will get back quickly). Staff emails published on the Our Staff page include paulpieper@smile4.info (Paul Pieper, Executive Director and Co-Founder) and jmartinez@smile4.info (Jean Martinez, DDP).
Websitehttps://smile4.info/

Who pays for in-home care?

What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:

In-home care guide · Paying for care

Other in-home care in Gwinnett County

Common questions about Saint Mary's Independent Living Extensions (Smile)

Where is Saint Mary's Independent Living Extensions (Smile) located?

Saint Mary's Independent Living Extensions (Smile) is at 120 GLOSTER ROAD, NW SUITE 3, Lawrenceville, Georgia 30044.

What care and services does Saint Mary's Independent Living Extensions (Smile) offer?

Saint Mary's Independent Living Extensions (Smile) offers in-home care, personal care and home care services as licensed.

How do I contact Saint Mary's Independent Living Extensions (Smile)?

Call Saint Mary's Independent Living Extensions (Smile) at 770-279-5115.

How much does home care cost?

The national median cost of a home care aide is $35 an hour (CareScout Cost of Care Survey, 2025). At 44 hours a week, that is about $80,080 a year. Costs in Georgia can be higher or lower. See our guide to home care costs and who pays for the full picture.

Does Medicare pay for home care?

No. Medicare does not pay for non-medical home care on its own. That is help with bathing, dressing, cooking, cleaning, and rides. Medicare pays for home health care, which is medical care at home ordered by a doctor. Some Medicare Advantage plans add a small home care benefit, but the rules and hours vary by plan.

What is the difference between home care and home health?

Home care is non-medical help at home, like bathing, cooking, cleaning, and rides. You hire home care on your own. Home health is medical care at home. Nurses and therapists give it, and a doctor orders it. Medicare can pay for home health when you meet its rules. It does not pay for home care on its own.

Who else pays for home care besides Medicare?

Medicaid pays for home care for people who qualify, often through waiver programs. The VA pays for homemaker and home health aide care for many veterans. Long-term care insurance can pay for part of the cost. Most other care is paid out of pocket.

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