Organization Active NPI

Serenity Nursing Services, Inc.

  • Home Health Agency
  • North Hollywood, CA
National Provider Identifier
1467915470
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SERENITY NURSING SERVICES, INC.
Practice address
11755 Victory Blvd Ste 290
North Hollywood, CA 91606-3478
Phone
(760) 552-4400
Fax
(760) 552-4405
NPI assigned
Apr 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Mr. Armen Basmadzhyan
Title
Ceo
Phone
(760) 552-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11755 Victory Blvd Ste 290
North Hollywood, CA 91606-3478

Mailing address

11755 Victory Blvd Ste 290
North Hollywood, CA 91606-3478
Phone (818) 452-9441

Care Compare: Home health agency

Medicare Care Compare
Listed as
Serenity Nursing Services, IncCCN 559339
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Feb 15, 2021
Medicare certification status
Terminated Voluntary: merger or closure, Jan 27, 2026From the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

11755 Victory Blvd
Ste 290
North Hollywood, CA 91606
Phone (818) 452-9441

14420 Civic Dr
Ste 9
Victorville, CA 92392
Phone (760) 475-9332

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1467915470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 290",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063478",
            "telephone_number": "818-452-9441",
            "fax_number": "818-452-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 290",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063478",
            "telephone_number": "760-552-4400",
            "fax_number": "760-552-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY NURSING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "BASMADZHYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-552-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.