Serene Care Holdings LLC

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

Organization subpart

Yes

Parent organization

SERENE CARE HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Stecy Ola, CRNP, FNP, PMH

Title

President

Phone

(410) 204-2866

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Serene Care Holdings LLC

  • Family Nurse Practitioner
  • Owings Mills, MD
  • NPI 1396350484

  O20210528001580

  Same enrollment

Part of

Serene Care Holdinging LLC

Locations

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.

• Serene Care Holdings LLC

  • Family Nurse Practitioner
  • Owings Mills, MD
  • NPI 1396350484
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derick Sonjong, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
  • NPI 1851047690
  NPD

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": []
}

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• Serene Care Holdings LLC
• Halima Sesay
• Joy Severe
• Carlton Clark Sexton, M.D.
• Laureta Naa Oyoe Sey, NP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• 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.