NPIMap

Organization Active NPI

Serenity Gardens Assisted Living LLC

  • Assisted Living Facility
  • Potomac, MD
National Provider Identifier
1881209690
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SERENITY GARDENS ASSISTED LIVING LLC
Practice address
10829 Burbank Dr
Potomac, MD 20854-1557
Phone
(301) 200-9275
Fax
(800) 521-9231
NPI assigned
Sep 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Claudia Warren-Taylor, NPNPI 1922284785
Title
Owner
Phone
(301) 200-9275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10829 Burbank Dr
Potomac, MD 20854-1557

Mailing address

10829 Burbank Dr
Potomac, MD 20854-1557
Phone (301) 200-9275

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Potomac Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1881209690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10829 BURBANK DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541557",
            "telephone_number": "301-200-9275",
            "fax_number": "800-521-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10829 BURBANK DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541557",
            "telephone_number": "301-200-9275",
            "fax_number": "800-521-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY GARDENS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "WARREN-TAYLOR",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-200-9275",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Potomac",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10829 Burbank Dr",
            "city": "Potomac",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208541557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.