Healthcare Provider Details

I. General information

NPI: 1891236097
Provider Name (Legal Business Name): SERENE HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6412 MATILIJA AVE STE 207
VAN NUYS CA
91401-1576
US

IV. Provider business mailing address

6412 MATILIJA AVE STE 207
VAN NUYS CA
91401-1576
US

V. Phone/Fax

Practice location:
  • Phone: 747-264-1510
  • Fax: 747-247-2241
Mailing address:
  • Phone: 747-264-1510
  • Fax: 747-247-2241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: CARMEN HOOKASIAN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 747-264-1510