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SERENITY MANOR ADULT DAY SERVICES, LLC
NPI 1730721085
Clinic/Center - Adult Day Care in Edgewood, MD

Active since October 08, 2019CLIA 21D2171019 · Waiver
1319 WOODBRIDGE STATION WAY STE 102, EDGEWOOD, MD 21040(410) 994-8988(410) 844-5686 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Serenity Manor Adult Day Services, Llc NPPES

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

SERENITY MANOR ADULT DAY SERVICES, LLC (NPI 1730721085) is a healthcare organization registered as an adult day care in Edgewood, Maryland and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Camille G. Matthews, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730721085
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameSERENITY MANOR ADULT DAY SERVICES, LLC
Location Address1319 WOODBRIDGE STATION WAY STE 102Edgewood, MD 21040-3852
Mailing Address1319 Woodbridge Station Way Ste 102Edgewood, MD 21040-3852 · (410) 994-8988 · Fax (410) 844-5686
Phone(410) 994-8988
Fax(410) 844-5686
Organization SubpartNo
Authorized OfficialCamille G. MatthewsCeo · (410) 994-8988
Enumeration DateOctober 8, 2019
✔ NPI 1730721085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
1319 WOODBRIDGE STATION WAY STE 102, Edgewood, MD 21040
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2171019

Serenity Manor Adult Day Services · Edgewood, MD
Active · expires Aug 22, 2027
CLIA Number21D2171019
Laboratory TypeAdult Medical Day Care
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorRosemary Minarik
Laboratory Phone(410) 994-8988
Laboratory LocationSerenity Manor Adult Day Services1319 Woodbridge Station Way Ste 102, Edgewood, MD 21040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHAKIRAT OLABISI AROWOROWON COTA
Occupational Therapy Assistant
1319 WOODBRIDGE STATION WAY STE 102
EDGEWOOD, MD 21040
Harford County (443) 857-7985
CRADDLES LLC
Occupational Therapist
1319 WOODBRIDGE STATION WAY STE 102
EDGEWOOD, MD 21040
Harford County (443) 857-7475

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 Adult Day Services, LLC's NPI number?

The NPI number for Serenity Manor Adult Day Services, LLC is 1730721085. It was assigned to this organization in the NPPES registry on October 8, 2019.

Where is Serenity Manor Adult Day Services, LLC located?

Serenity Manor Adult Day Services, LLC is located at 1319 Woodbridge Station Way Ste 102, Edgewood, MD 21040. The listed phone number is (410) 994-8988.

What is Serenity Manor Adult Day Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Serenity Manor Adult Day Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2171019) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Serenity Manor Adult Day Services, LLC was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.