Provider Demographics
NPI:1518308071
Name:SERENITY HOSPICE GROUP INC
Entity Type:Organization
Organization Name:SERENITY HOSPICE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMUNDO
Authorized Official - Middle Name:P
Authorized Official - Last Name:AJOC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-548-2440
Mailing Address - Street 1:17100 NORWALK BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-2750
Mailing Address - Country:US
Mailing Address - Phone:562-548-2440
Mailing Address - Fax:562-548-3947
Practice Address - Street 1:17100 NORWALK BLVD STE 110
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-2750
Practice Address - Country:US
Practice Address - Phone:562-548-2440
Practice Address - Fax:562-548-3947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based