Healthcare Provider Details

I. General information

NPI: 1245847995
Provider Name (Legal Business Name): SERENITY HOSPICE LA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6465 SYCAMORE CANYON BLVD STE 150B
RIVERSIDE CA
92507-0705
US

IV. Provider business mailing address

9800 S MONROE ST # 900
SANDY UT
84070-4419
US

V. Phone/Fax

Practice location:
  • Phone: 801-849-0486
  • Fax:
Mailing address:
  • Phone: 818-945-1821
  • Fax: 213-451-3276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER HARRIS
Title or Position: CEO
Credential:
Phone: 801-849-0486