Healthcare Provider Details

I. General information

NPI: 1598313066
Provider Name (Legal Business Name): SERENITY ADHC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2019
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10638 SEPULVEDA BLVD
MISSION HILLS CA
91345-1919
US

IV. Provider business mailing address

10638 SEPULVEDA BLVD
MISSION HILLS CA
91345-1919
US

V. Phone/Fax

Practice location:
  • Phone: 818-322-8095
  • Fax:
Mailing address:
  • Phone: 818-322-8095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ARTHUR KARKOTSYAN
Title or Position: PRESIDENT
Credential:
Phone: 818-322-8095