Provider Demographics
NPI:1801461629
Name:LA SERENITA HOSPICE CARE, INC.
Entity type:Organization
Organization Name:LA SERENITA HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES./CEO
Authorized Official - Prefix:
Authorized Official - First Name:MINERVA
Authorized Official - Middle Name:RODELAS
Authorized Official - Last Name:MOSCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-474-1020
Mailing Address - Street 1:13421 1/2 PUMICE ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-5220
Mailing Address - Country:US
Mailing Address - Phone:562-474-1020
Mailing Address - Fax:562-474-1040
Practice Address - Street 1:13421 1/2 PUMICE ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-5220
Practice Address - Country:US
Practice Address - Phone:562-474-1020
Practice Address - Fax:562-474-1040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based