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SERENITY SENIOR LIVING
NPI 1164312351
Assisted Living Facility in Fruitland, MD

Active since July 08, 2025
110 W MAIN ST, FRUITLAND, MD 21826(443) 866-1764 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Serenity Senior Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY SENIOR LIVING (NPI 1164312351) is a healthcare organization registered as an assisted living facility in Fruitland, Maryland and active in the NPI registry since July 2025. The organization lists Dezjah Ellis, Owner, as its authorized official.

NPPES Registry Identity

NPI1164312351
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSERENITY SENIOR LIVING
Location Address110 W MAIN STFruitland, MD 21826-1663
Mailing Address110 W Main StFruitland, MD 21826-1663 · (410) 936-0563
Phone(443) 866-1764
Organization SubpartNo
Authorized OfficialDezjah EllisOwner · (410) 936-0563
Enumeration DateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1164312351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
110 W MAIN ST, Fruitland, MD 21826
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Senior Living's NPI number?

The NPI number for Serenity Senior Living is 1164312351. It was assigned to this organization in the NPPES registry on July 8, 2025.

Where is Serenity Senior Living located?

Serenity Senior Living is located at 110 W Main St, Fruitland, MD 21826. The listed phone number is (443) 866-1764.

What is Serenity Senior Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Serenity Senior Living was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.