Organization Active NPI

My Serenity Senior Care

  • Assisted Living Facility
  • West Hills, CA
National Provider Identifier
1417594136
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MY SERENITY SENIOR CARE
Practice address
22414 Hartland St
West Hills, CA 91307-2617
Phone
(323) 327-8554
NPI assigned
Dec 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Ella Mastov
Title
Administrator
Phone
(323) 327-8554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

22414 Hartland St
West Hills, CA 91307-2617

Mailing address

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

Other names 1

  • My Serenity Senior Home Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL myserenityhome@yahoo.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1417594136",
    "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",
            "fax_number": "818-657-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22414 HARTLAND ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072617",
            "telephone_number": "323-327-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SERENITY SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "MASTOV",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-327-8554"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "myserenityhome@yahoo.com",
            "affiliation": "N",
            "address_1": "22414 Hartland St",
            "city": "West Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913072617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "My Serenity Senior Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 2, 2019; 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.