NPIMap

Organization Active NPI

Serenity Health, LLC

Doing business as Serenity Health, Aberdeen

  • Methadone Clinic
  • Aberdeen, MD
National Provider Identifier
1598010043
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
904499 Issued in MD
Legal business name
SERENITY HEALTH, LLC
Doing business as
Serenity Health, Aberdeen
Practice address
780 W Bel Air Ave Ste B
Aberdeen, MD 21001-2236
Phone
(410) 273-1030
Fax
(410) 273-1040
NPI assigned
Jul 20, 2012
Last updated
Apr 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Nancy J Turner, RN
Title
Ceo
Phone
(443) 504-3018

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 904499 MD Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 904609 MD

Addresses

Primary practice location

780 W Bel Air Ave Ste B
Aberdeen, MD 21001-2236

Mailing address

2873 Troyer Rd
White Hall, MD 21161-9321
Phone (443) 504-3018

Other identifiers 1

IdentifierTypeStateIssuer
421118900MedicaidMD

Other names 1

  • Serenity Health, Aberdeen Doing business as

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 IDStateProvider typePAC IDDetails
O20200121000661 MD Part B Supplier - Opioid Treatment Program (Otp) 3577619667 1 other NPI on this enrollment
This NPI is an additional NPI on the 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.

National Provider Directory

National Provider Directory
Tax ID family
Serenity Health - Aberdeen4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

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": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1598010043",
    "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": "780 W BEL AIR AVE STE B",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012236",
            "telephone_number": "410-273-1030",
            "fax_number": "410-273-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2018-04-19",
        "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": "443-504-3018",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MD",
            "license": "904499",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MD",
            "license": "904609",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421118900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Health, Aberdeen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Health, Aberdeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.