Serenity Golden Home Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

SERENITY GOLDEN HOME INC

Practice address

931 Forest Bay CT
Gambrills, MD 21054-1603

Phone

(443) 570-7610

NPI assigned

Jun 3, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thimothe Konchou

Title

Cfo

Phone

(240) 305-8645

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1154254878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 FOREST BAY CT",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541603",
            "telephone_number": "443-570-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 FOREST BAY CT",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541603",
            "telephone_number": "443-570-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY GOLDEN HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "KONCHOU",
        "authorized_official_first_name": "THIMOTHE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "240-305-8645"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Nicole Schiller, PA-C
• Donald Richard Schneider, MD
• Howard Kenneth Schultz Jr., MD
• Sweena Seekri, PH.D.
• Sejal G. Mattu MD PA
• Maureen Elizabeth Sevec, OTR/L
• Ian M Shantz, MD
• Heather Shipley, MSOT, OTR/L
• Seema Siddiqui, D.D.S.
• Ava J Silva

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.