Serene Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SERENE HOSPICE, LLC

Practice address

20953 Devonshire St Ste 5
Chatsworth, CA 91311-2367

Phone

(818) 717-8600

NPI assigned

Jul 10, 2014

Last updated

Aug 24, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela Morlett

Title

Contact Person

Phone

(818) 626-2894

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225444193. Details of each certification follow.

• CCN A01658 Hospice · Active · Details

Hospice certification: CCN A01658

Legal name

SERENE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 10, 2019

Last certification

Sep 10, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

20953 Devonshire St
Ste 5
Chatsworth, CA 91311-2367

Listed as

Serene Hospice, LLCCCN A01658 · All quality measures

Ownership

For-Profit

Certified

Sep 10, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Stephen Pine, M.D.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1356352108

  Contracted Managing Employee

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1225444193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20953 DEVONSHIRE ST STE 5",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112367",
            "telephone_number": "818-717-8600",
            "fax_number": "949-353-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20953 DEVONSHIRE ST STE 5",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112367",
            "telephone_number": "818-717-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "MORLETT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CONTACT PERSON",
        "authorized_official_telephone_number": "818-626-2894"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.