=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629341763
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SERENE HOSPICE CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/21/2012
-----------------------------------------------------
Last Update Date | 08/03/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3131 FOOTHILL BLVD STE J
-----------------------------------------------------
City | LA CRESCENTA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91214-4232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-300-7779
-----------------------------------------------------
Fax | 818-745-0985
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3131 FOOTHILL BLVD STE J
-----------------------------------------------------
City | LA CRESCENTA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91214-4232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-300-7779
-----------------------------------------------------
Fax | 818-745-0985
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | NONA JANSZYAN-ORDUBEGIAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-330-7779
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------