NPIMap

Organization Active NPI

Serene Care Holdings LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owings Mills, MD
National Provider Identifier
1326748880
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SERENE CARE HOLDINGS LLC
Practice address
10806 Reisterstown Rd Ste 1F
Owings Mills, MD 21117-4602
Phone
(410) 204-2866
NPI assigned
Mar 3, 2023
Last updated
Aug 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SERENE CARE HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Stecy Ola, CRNP, FNP, PMHNPI 1609204528
Title
President
Phone
(410) 204-2866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

10806 Reisterstown Rd Ste 1F
Owings Mills, MD 21117-4602

Mailing address

10806 Reisterstown Rd Ste 1F
Owings Mills, MD 21117-4602
Phone (410) 204-2866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210528001580 MD Part B Supplier - Clinic/Group Practice 5395165468 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Owings Mills, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Serene Care Holdings LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1326748880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10806 REISTERSTOWN RD STE 1F",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174602",
            "telephone_number": "410-204-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10806 REISTERSTOWN RD STE 1F",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174602",
            "telephone_number": "410-204-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE CARE HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERENE CARE HOLDINGS LLC",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "OLA",
        "authorized_official_first_name": "STECY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-204-2866",
        "authorized_official_credential": "CRNP, FNP, PMH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.

Verify at the official NPI Registry.