Provider Demographics
NPI:1598313066
Name:SERENITY ADHC, INC.
Entity Type:Organization
Organization Name:SERENITY ADHC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:KARKOTSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-322-8095
Mailing Address - Street 1:10638 SEPULVEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-1919
Mailing Address - Country:US
Mailing Address - Phone:818-322-8095
Mailing Address - Fax:
Practice Address - Street 1:10638 SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-1919
Practice Address - Country:US
Practice Address - Phone:818-322-8095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care