Provider Demographics
NPI:1376126227
Name:LA SERENITY HOSPICE INC
Entity Type:Organization
Organization Name:LA SERENITY HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SONA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SARGSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-888-8808
Mailing Address - Street 1:3111 LOS FELIZ BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1585
Mailing Address - Country:US
Mailing Address - Phone:865-888-8808
Mailing Address - Fax:
Practice Address - Street 1:3111 LOS FELIZ BLVD STE 211
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1585
Practice Address - Country:US
Practice Address - Phone:865-888-8808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based