SERENITY HOSPICE CARE PROVIDER INC. NPI 1003212010

NPI Information

SERENITY HOSPICE CARE PROVIDER, INC. is a hospice care community based in Simi Valley, CA. SERENITY HOSPICE CARE PROVIDER, INC. NPI is 1003212010. The provider is registered as an organization entity type.

The provider's business location address is:

2139 TAPO ST
STE 225
SIMI VALLEY, CA
ZIP 93063-478
Phone: (805) 522-5506
Fax: (800) 315-9134

The provider's authorized official is Inga Artemchuk .
The authorized official title is Coo and has the following contact phone number (805) 522-5506.

The CLIA number assigned to this NPI record is 05D2105340 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2014 and was last updated on 11/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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