SERENITY KEEPERS OF MARYLAND LLC


Address: 3645 Cottage Ave, Baltimore, MD 21215-7725
Phone: 7046050927

SERENITY KEEPERS OF MARYLAND LLC (NPI# 1134731284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134731284
Entity Type Organization
Organization Name SERENITY KEEPERS OF MARYLAND LLC
Practice Address 3645 Cottage Ave
Baltimore
MD 21215-7725
Mailing Address 2640 Oswego Ave
Baltimore
MD 21215-7037
Practice Telephone 7046050927
Mailing Telephone 7049998627
Enumeration Date 2020-08-20
Last Update Date 2020-08-20
Authorized Official Name MR. DELORES JORDAN (OWNER)
Authorized Official Telephone 7049998627
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Office Location

Street Address 3645 COTTAGE AVE
City BALTIMORE
State MD
Zip Code 21215-7725

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639736796 Talal Abalkhail Student in an Organized Health Care Education/Training Program 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 2019-05-23
1235795410 Bilal Khan Student in an Organized Health Care Education/Training Program 2041 West Belvedere Avenue, Balitmore, MD 21215 2019-05-14
1669036067 Nasir M Alhamdan Student in an Organized Health Care Education/Training Program Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 2019-05-01
1851863971 Brittany Michelle O'neill Specialist/Technologist Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 2018-12-31
1881164432 Emily Gamma Social Worker 4810 Seton Drive, Baltimore, MD 21215 2018-11-27
1518440478 Benson Baby Physical Therapist 2525west Belveder Ave, Baltimore, MD 21215 2018-09-07
1609360817 Bonnie Kahler Clinical Nurse Specialist 2401 Belvedere Avenue, Baltimore, MD 21215 2018-06-20
1932693843 Kelley Monica Cohill Social Worker Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 2018-06-15
1497245609 Kimberly Beth Koerner Social Worker 2401 W. Belvedere Avenue, Baltimore, MD 21215 2018-05-14
1184113078 Mary Jo Kozel Registered Nurse 2401 West Belvedere, Baltimore, MD 21215 2018-05-07
Find all providers in zip 21215

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942808050 Powell Recovery Center, Inc. Substance Abuse Rehabilitation Facility 10 S Broadway, Baltimore, MD 21231-1775 2020-10-12
1396343414 Powell Recovery Center, Inc. Substance Abuse Rehabilitation Facility 15 S Broadway, Baltimore, MD 21231-1714 2020-10-12
1457968984 Powell Recovery Center Substance Abuse Rehabilitation Facility 22 S Broadway, Baltimore, MD 21231-1711 2020-09-29
1356956676 The Elysian Fields Optimum Wellness and Mental Health Group, LLC Substance Abuse Rehabilitation Facility 2901 Erdman Ave, Baltimore, MD 21213-1139 2020-09-14
1447875216 Unlimited Bounds Human Services LLC Substance Abuse Rehabilitation Facility 504 Beaumont Ave, Baltimore, MD 21212-4310 2020-06-08
1417577966 Royal Minds Inc Substance Abuse Rehabilitation Facility 928 W Franklin St, Baltimore, MD 21223-1337 2020-04-24
1912527722 Royal Minds Inc Substance Abuse Rehabilitation Facility 533 Chateau Ave, Baltimore, MD 21212-4306 2020-04-22
1841829892 Cmds Residential Substance Abuse Rehabilitation Facility 15 S Fulton Ave, Baltimore, MD 21223-2306 2020-04-02
1306472964 Created for Greater Health Systems Substance Abuse Rehabilitation Facility 1508 N Caroline St, Baltimore, MD 21213-2804 2020-03-16
1497380893 Top'em Substance Abuse Rehabilitation Facility 8105 Timberbrooke Rd, Baltimore, MD 21237-3350 2020-03-05
Find all providers in BALTIMORE

Competitor

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City BALTIMORE
Zip Code 21215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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