SERENITY HEALTH, LLC (NPI# 1598010043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598010043 |
| Entity Type | Organization |
| Organization Name | SERENITY HEALTH, LLC |
| Other Organization Name | SERENITY HEALTH, ABERDEEN |
| Practice Address |
780 W Bel Air Ave Ste B Aberdeen MD 21001-2236 |
| Mailing Address |
2873 Troyer Rd White Hall MD 21161-9321 |
| Practice Telephone | 4102731030 |
| Practice Fax Number | 4102731040 |
| Mailing Telephone | 4435043018 |
| Mailing Fax Number | 4106920143 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2018-04-19 |
| Authorized Official Name | NANCY J TURNER (CEO) |
| Authorized Official Telephone | 4435043018 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
904609 | MD | Ambulatory Health Care Facilities |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
904499 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 421118900 | 05 |
| Other Name | Type Code |
|---|---|
| Serenity Health, Aberdeen | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265797716 | Serenity Health, LLC | Clinic/Center | 953 W Pulaski Hwy, Elkton, MD 21921-4714 | 2012-07-11 |
| 1750534194 | Serenity Health, LLC | Clinic/Center | 780 W Bel Air Ave Ste B, Aberdeen, MD 21001-2236 | 2008-10-29 |
| 1285097105 | Serenity Health, LLC | Community/Behavioral Health | 1901 S Jones Blvd, Las Vegas, NV 89146-1260 | 2016-03-29 |
| 1639424187 | Serenity Health, LLC | Clinic/Center | 953 W Pulaski Hwy, Elkton, MD 21921-4714 | 2012-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SERENITY HEALTH, LLC | 17a Deely Rd., North Canaan, CT 06018 |
| Street Address |
780 W BEL AIR AVE STE B |
| City | ABERDEEN |
| State | MD |
| Zip Code | 21001-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750534194 | Serenity Health, LLC | Clinic/Center | 780 W Bel Air Ave Ste B, Aberdeen, MD 21001-2236 | 2008-10-29 |
| 1497225213 | Morgan Matthews | Licensed Practical Nurse | 780 W Bel Air Ave Ste B, Aberdeen, MD 21001-2236 | 2018-12-05 |
| 1053881870 | Ronald Nunan | Counselor | 780 W Bel Air Ave Ste B, Aberdeen, MD 21001-2236 | 2018-12-05 |
| 1902309503 | Stacey Mason | Counselor | 780 W Bel Air Ave Ste B, Aberdeen, MD 21001-2236 | 2018-03-10 |
| 1548763147 | Megan Dillon | Registered Nurse | 780 W Bel Air Ave Ste B, Aberdeen, MD 21001-2236 | 2018-03-10 |
| 1093218695 | Melissa A Hagan | Counselor | 780 W Bel Air Ave Ste B, Aberdeen, MD 21001-2236 | 2018-03-10 |
| 1275036873 | Jessica O'brien | Counselor | 780 W Bel Air Ave Ste B, Aberdeen, MD 21001-2236 | 2018-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269197 | Alphonsa Abdul Rahman | Clinical Nurse Specialist | 1386 Tralee Cir, Aberdeen, MD 21001 | 2020-09-09 |
| 1861983207 | Chelsea Mann | Counselor | 1013 Beards Hill Road, Suite 101 Pmb191, Aberdeen, MD 21001 | 2018-05-22 |
| 1558876227 | Lauren Neubauer | Behavioral Analyst | 4513 Philadelphia Rd, Aberdeen, MD 21001 | 2017-12-04 |
| 1811407398 | Trisha Abbey | Social Worker | 1326 Tralee Circle, None, Aberdeen, MARYLAND 21001 | 2017-10-10 |
| 1073914487 | Sm Health, LLC | Registered Nurse | 780 W Bel Air Ave Ste C, Aberdeen, MD 21001 | 2014-09-05 |
| 1073932752 | Ars of Aberdeen LLC | Clinic/Center | 24-26 West Bel Air Ave, Aberdeen, MD 21001 | 2014-04-10 |
| 1952643421 | Advocate Health Services,llc | Community/Behavioral Health | 37 North Philadelphia Blvd, Aberdeen, MD 21001 | 2013-03-22 |
| 1669721098 | Brenda Lynn Merrill | Counselor | 135 N. Parke Street, Aberdeen, MD 21001 | 2012-08-30 |
| 1316237092 | Rose Mary Hatem Bonsack | Family Medicine | 205 Hemlock La., Aberdeen, MD 21001 | 2011-04-14 |
| 1265754253 | Cynthia Sprague | Counselor | 1403 Pannell Dr Apt H, Aberdeen, MD 21001 | 2010-02-18 |
| Find all providers in zip 21001 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1821491598 | Ars of Aberdeen LLC | Clinic/Center | 24 W Bel Air Ave, Aberdeen, MD 21001-3235 | 2014-10-08 |
| 1073932752 | Ars of Aberdeen LLC | Clinic/Center | 24-26 West Bel Air Ave, Aberdeen, MD 21001 | 2014-04-10 |
| 1750534194 | Serenity Health, LLC | Clinic/Center | 780 W Bel Air Ave Ste B, Aberdeen, MD 21001-2236 | 2008-10-29 |
| 1659584399 | Medication Assisted Treatment Technologies | Clinic/Center | 1301 'c' Loflin Road, Aberdeen, MD 21001 | 2007-05-08 |
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| Find all providers with the same taxonomy | ||||
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| 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.