Active NPI
Serenity and Grace Healthcare LLC
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Baltimore, MD
National Provider Identifier
1952014375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | Primary | ||
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 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 LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1245190529
-
- Community/Behavioral Health Agency
- Cleveland, OH
- NPI 1730051533
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1245190529
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.