Serenity Acres Treatment Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

904138 Issued in MD

Legal business name

SERENITY ACRES TREATMENT CENTER LLC

Practice address

2015 Martins Grant CT
Crownsville, MD 21032-1932

Phone

(240) 277-4802

NPI assigned

Feb 18, 2011

Organization subpart

No

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

Authorized official

Name

Lawrence Adler

Title

Founder

Phone

(240) 277-4802

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Patricia A McNulty, CAC-AD

  • Addiction (Substance Use Disorder) Counselor
  • Crownsville, MD
  • NPI 1164924031
  NPD (past)
• Shannon Scearce

  • Massage Therapist
  • Crownsville, MD
  • NPI 1275058182
  NPD (past)
• Ernestine Suggs, LCPC

  • Professional Counselor
  • Crownsville, MD
  • NPI 1689002354
  NPD (past)

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1730486275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 FOREST DR # 226",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014229",
            "telephone_number": "240-277-4802",
            "fax_number": "443-279-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MARTINS GRANT CT",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321932",
            "telephone_number": "240-277-4802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2007 Saint Stephens Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Crownsville",
            "state": "MD",
            "postal_code": "210322200",
            "country_code": "US",
            "telephone_number": "240-334-7853",
            "fax_number": "410-721-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2008 Saint Stephens Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Crownsville",
            "state": "MD",
            "postal_code": "210322200",
            "country_code": "US",
            "telephone_number": "240-334-7853",
            "fax_number": "410-721-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2009 Saint Stephens Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Crownsville",
            "state": "MD",
            "postal_code": "210322200",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Saint Stephens Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Crownsville",
            "state": "MD",
            "postal_code": "210322200",
            "country_code": "US",
            "telephone_number": "240-334-7853",
            "fax_number": "410-721-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2013 Martins Grant Ct",
            "address_purpose": "LOCATION",
            "city": "Crownsville",
            "state": "MD",
            "postal_code": "210321932",
            "country_code": "US",
            "telephone_number": "240-334-7853",
            "fax_number": "410-721-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2017 Martins Grant Ct",
            "address_purpose": "LOCATION",
            "city": "Crownsville",
            "state": "MD",
            "postal_code": "210321932",
            "country_code": "US",
            "telephone_number": "240-334-7853",
            "fax_number": "410-721-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 Martins Grant Ct",
            "address_purpose": "LOCATION",
            "city": "Crownsville",
            "state": "MD",
            "postal_code": "210321932",
            "country_code": "US",
            "telephone_number": "240-334-7853",
            "fax_number": "410-721-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY ACRES TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "240-277-4802"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "904138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natesha Schwaderer, LCADC
• Second Genesis, Inc
• Second Genesis, Inc
• Second Genesis, Inc.
• David Semanco, MAC,CADC,CSAC,CAC-AD
• John Peter Serlemitsos, MD
• Sharkey Pediatric Occupational Therapy
• Kelly Grace Shaw
• Jinell Anne Smithmyer, LAC
• Gwinn Alene Spence, LGCP, CAC-AD

• Substance Abuse Rehabilitation Facility in Crownsville, MD
• Providers in Crownsville, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.