Organization Active NPI

Serenity Horizons, LLC

  • Community/Behavioral Health Agency
  • Hagerstown, MD
National Provider Identifier
1760211197
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SERENITY HORIZONS, LLC
Practice address
339 E Antietam St Ste 5
Hagerstown, MD 21740-5767
Phone
(240) 469-4533
NPI assigned
Aug 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Mr. Dontae Amos
Title
Owner
Phone
(337) 292-0194

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

339 E Antietam St Ste 5
Hagerstown, MD 21740-5767

Mailing address

339 E Antietam St Ste 5
Hagerstown, MD 21740-5767
Phone (240) 469-4533

National Provider Directory

National Provider Directory

Locations

339 E Antietam St
Ste 5
Hagerstown, MD 21740
Phone (240) 469-4533

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1760211197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E ANTIETAM ST STE 5",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405767",
            "telephone_number": "240-469-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 E ANTIETAM ST STE 5",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405767",
            "telephone_number": "240-469-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HORIZONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "DONTAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-292-0194",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.