Provider Demographics
NPI:1316358880
Name:SERENDIPITE HEALTHCARE GROUP
Entity Type:Organization
Organization Name:SERENDIPITE HEALTHCARE GROUP
Other - Org Name:SUNNYSIDE HOSPICE AND PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT/CFO/SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:KIYOE
Authorized Official - Last Name:YANO-PAGADUAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-203-2051
Mailing Address - Street 1:12377 LEWIS STREET SUITE 103
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-4672
Mailing Address - Country:US
Mailing Address - Phone:714-203-2051
Mailing Address - Fax:714-203-6587
Practice Address - Street 1:12377 LEWIS STREET SUITE 103
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-4672
Practice Address - Country:US
Practice Address - Phone:714-203-2051
Practice Address - Fax:714-203-6587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-18
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based