NPIMap

Organization Active NPI

Serenity Group Home LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Baltimore, MD
National Provider Identifier
1508705088
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SERENITY GROUP HOME LLC
Practice address
3721 Elmley Ave
Baltimore, MD 21213-1921
Phone
(347) 968-2125
NPI assigned
Mar 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Wakeelat O Anifowoshe
Title
MSW
Phone
(347) 968-2125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

3721 Elmley Ave
Baltimore, MD 21213-1921

Mailing address

3721 Elmley Ave
Baltimore, MD 21213-1921
Phone (347) 968-2125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1508705088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 ELMLEY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131921",
            "telephone_number": "347-968-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 ELMLEY AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131921",
            "telephone_number": "347-968-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "ANIFOWOSHE",
        "authorized_official_first_name": "WAKEELAT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MSW",
        "authorized_official_telephone_number": "347-968-2125"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.