Organization Active NPI

Serenity and Grace Healthcare LLC

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Baltimore, MD
National Provider Identifier
1952014375
Registry record updated Sep 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
Legal business name
SERENITY AND GRACE HEALTHCARE LLC
Practice address
110 W Mulberry St Ste 400
Baltimore, MD 21201-3606
Phone
(347) 456-4647
NPI assigned
Dec 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2025

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

Authorized official

Name
John Lee
Title
Ceo
Phone
(347) 456-4647

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0807X Primary
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0809X

Addresses

Primary practice location

110 W Mulberry St Ste 400
Baltimore, MD 21201-3606

Mailing address

110 W Mulberry St Ste 400
Baltimore, MD 21201-3606
Phone (347) 456-4647

Other practice location 1

3100 E 45th St
Cleveland, OH 44127-1088
Phone (347) 456-4647

National Provider Directory

National Provider Directory
Tax ID family
Serenity and Grace Healthcare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758412800000",
    "number": "1952014375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W MULBERRY ST STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013606",
            "telephone_number": "347-456-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W MULBERRY ST STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013606",
            "telephone_number": "347-456-4647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 E 45th St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441271088",
            "country_code": "US",
            "telephone_number": "347-456-4647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY AND GRACE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-456-4647"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.