1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Assisted Living Facility
  6. NPI Profile

SERENITY MANOR @GWYNN OAK CORP
NPI 1407208168
Assisted Living Facility in Baltimore, MD

Active since July 06, 2016
5216 GWYNN OAK AVE, BALTIMORE, MD 21207(443) 801-3134 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Serenity Manor @gwynn Oak Corp NPPES

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

SERENITY MANOR @GWYNN OAK CORP (NPI 1407208168) is a healthcare organization registered as an assisted living facility in Baltimore, Maryland and active in the NPI registry since July 2016. The organization lists Camille Matthews, President, as its authorized official.

NPPES Registry Identity

NPI1407208168
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSERENITY MANOR @GWYNN OAK CORP
Location Address5216 GWYNN OAK AVEBaltimore, MD 21207-6807
Mailing Address5216 Gwynn Oak AveBaltimore, MD 21207-6807 · (443) 801-3134
Phone(443) 801-3134
Organization SubpartNo
Authorized OfficialCamille MatthewsPresident · (443) 801-3134
Enumeration DateJuly 6, 2016
✔ NPI 1407208168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MD · 30AL3565A
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.
5216 GWYNN OAK AVE, Baltimore, MD 21207
Open in Google Maps ↗

Other Identifiers 2

Medicaid1467589242MD
Medicaid5795420101MD

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 Manor @gwynn Oak Corp's NPI number?

The NPI number for Serenity Manor @gwynn Oak Corp is 1407208168. It was assigned to this organization in the NPPES registry on July 6, 2016.

Where is Serenity Manor @gwynn Oak Corp located?

Serenity Manor @gwynn Oak Corp is located at 5216 Gwynn Oak Ave, Baltimore, MD 21207. The listed phone number is (443) 801-3134.

What is Serenity Manor @gwynn Oak Corp'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 Manor @gwynn Oak Corp was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.