Active NPI
My Serenity Board and Care
- Assisted Living Facility
- West Hills, CA
National Provider Identifier
1255880167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 197608975
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ella Mastov
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- West Hills, CA
- NPI 1457874869
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.