Healthcare Provider Details
I. General information
NPI: 1003750175
Provider Name (Legal Business Name): SERENICA CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8659 BALTIMORE NATIONAL PIKE STE N
ELLICOTT CITY MD
21043-4126
US
IV. Provider business mailing address
8659 BALTIMORE NATIONAL PIKE STE N
ELLICOTT CITY MD
21043-4126
US
V. Phone/Fax
- Phone: 410-267-3912
- Fax:
- Phone: 410-267-3912
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SASHEEN
MAPLE
Title or Position: OWNER / PROVIDER
Credential: MAPLE
Phone: 443-355-9490