NPIMap

Organization Active NPI

Serenity Sistas Inc

Doing business as Serenity Sistas

  • Lodging Provider
  • Annapolis, MD
National Provider Identifier
1538971833
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
SERENITY SISTAS INC
Doing business as
Serenity Sistas
Practice address
266 Hillsmere Dr
Annapolis, MD 21403-3736
Phone
(410) 507-7583
NPI assigned
Jan 23, 2025
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Angel Traynor
Title
Executive Director
Phone
(410) 507-7583

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

266 Hillsmere Dr
Annapolis, MD 21403-3736

Mailing address

266 Hillsmere Dr
Annapolis, MD 21403-3736
Phone (410) 507-7583

Other identifiers 3

IdentifierTypeStateIssuer
1000140473MedicaidMD
1000143647MedicaidMD
1000054616MedicaidMD

Other names 1

  • Serenity Sistas Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1538971833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 HILLSMERE DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033736",
            "telephone_number": "410-507-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 HILLSMERE DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033736",
            "telephone_number": "410-507-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SISTAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "TRAYNOR",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-507-7583"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000140473",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000143647",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000054616",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Sistas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.