Provider Demographics
NPI:1851988448
Name:SERENITY HILLS HOSPICE, INC
Entity Type:Organization
Organization Name:SERENITY HILLS HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYRAZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-208-3300
Mailing Address - Street 1:2920 W OLIVE AVE STE 113
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4546
Mailing Address - Country:US
Mailing Address - Phone:747-208-3300
Mailing Address - Fax:
Practice Address - Street 1:2920 W OLIVE AVE STE 113
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4546
Practice Address - Country:US
Practice Address - Phone:747-208-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based