Active NPI
Serenity Health, LLC
- Methadone Clinic
- Elkton, MD
National Provider Identifier
1265797716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 904609
- Legal business name
- SERENITY HEALTH, LLC
- Practice address
- 953 W Pulaski Hwy
Elkton, MD 21921-4714 - Phone
- (443) 485-6544
- Fax
- (443) 485-6442
- NPI assigned
- Jul 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nancy J Turner, MBR, RN, DMP
- Title
- Ceo
- Phone
- (443) 485-6544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | 904609 | MD | Primary |
Addresses
Primary practice location
953 W Pulaski Hwy
Elkton, MD 21921-4714
Mailing address
2873 Troyer Rd
White Hall, MD 21161-9321
Phone (443) 504-3018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200121000661 | MD | Part B Supplier - Opioid Treatment Program (Otp) | 3577619667 |
1 other NPI on this enrollment Practice locations: Aberdeen, MD; Elkton, MD |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Serenity Health, Aberdeen
- Methadone Clinic
- Aberdeen, MD
- NPI 1598010043
O20200121000661
National Provider Directory
National Provider Directory- Tax ID family
- Serenity Health - Aberdeen
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Serenity Health - Elkton
- Substance Use Disorder Rehabilitation Clinic/Center
- Elkton, MD
- NPI 1639424187
-
dba Serenity Health - Aberdeen
- Substance Use Disorder Rehabilitation Clinic/Center
- Aberdeen, MD
- NPI 1750534194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523923200000",
"number": "1265797716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2873 TROYER RD",
"city": "WHITE HALL",
"state": "MD",
"postal_code": "211619321",
"telephone_number": "443-504-3018",
"fax_number": "410-692-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "953 W PULASKI HWY",
"city": "ELKTON",
"state": "MD",
"postal_code": "219214714",
"telephone_number": "443-485-6544",
"fax_number": "443-485-6442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-11",
"last_updated": "2018-04-17",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-485-6544",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MBR, RN, DMP"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "MD",
"license": "904609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.