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SERENITY HOSPICE CARE PROVIDER INC. NPI 1003212010


NPI Information

NPI: 1003212010
Provider Name: SERENITY HOSPICE CARE PROVIDER, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2105340

Address:
2139 TAPO ST
STE 225
SIMI VALLEY, CA
ZIP 93063
Phone: (805) 522-5506
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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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.