Healthcare Provider Details

I. General information

NPI: 1508705088
Provider Name (Legal Business Name): SERENITY GROUP HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3721 ELMLEY AVE
BALTIMORE MD
21213-1921
US

IV. Provider business mailing address

3721 ELMLEY AVE
BALTIMORE MD
21213-1921
US

V. Phone/Fax

Practice location:
  • Phone: 347-968-2125
  • Fax:
Mailing address:
  • Phone: 347-968-2125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: WAKEELAT O ANIFOWOSHE
Title or Position: MSW
Credential:
Phone: 347-968-2125