Provider Demographics
NPI:1467915470
Name:SERENITY NURSING SERVICES, INC.
Entity Type:Organization
Organization Name:SERENITY NURSING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BASMADZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-552-4400
Mailing Address - Street 1:11755 VICTORY BLVD STE 290
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3478
Mailing Address - Country:US
Mailing Address - Phone:818-452-9441
Mailing Address - Fax:818-452-9319
Practice Address - Street 1:11755 VICTORY BLVD STE 290
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3478
Practice Address - Country:US
Practice Address - Phone:760-552-4400
Practice Address - Fax:760-552-4405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health