Organization Active NPI

My Serenity Board and Care

  • Assisted Living Facility
  • West Hills, CA
National Provider Identifier
1255880167
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197608975 Issued in CA
Legal business name
MY SERENITY BOARD AND CARE
Practice address
6658 Capistrano Ave
West Hills, CA 91307-3731
Phone
(323) 327-8554
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Mrs. Ella MastovNPI 1457874869
Title
Administarator
Phone
(323) 327-8554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197608975 CA Primary

Addresses

Primary practice location

6658 Capistrano Ave
West Hills, CA 91307-3731

Mailing address

7939 Cowper Ave
West Hills, CA 91304-6101
Phone (323) 327-8554

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1255880167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7939 COWPER AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913046101",
            "telephone_number": "323-327-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6658 CAPISTRANO AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073731",
            "telephone_number": "323-327-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SERENITY BOARD AND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "MASTOV",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "ADMINISTARATOR",
        "authorized_official_telephone_number": "323-327-8554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197608975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.