Organization Active NPI

Serenity Care Health Corporation

  • Assisted Living Facility
  • Santa Monica, CA
National Provider Identifier
1477197564
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SERENITY CARE HEALTH CORPORATION
Practice address
851 4TH St
Santa Monica, CA 90403-1201
Phone
(213) 478-0800
NPI assigned
Oct 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Arlene Medina
Title
Executive Operations
Phone
(562) 478-4107

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

851 4TH St
Santa Monica, CA 90403-1201

Mailing address

515 S Flower St FL 18
Los Angeles, CA 90071-2201
Phone (562) 478-4107

Other practice location 1

120 S Myrtle Ave
Monrovia, CA 91016-2845
Phone (626) 699-4613

National Provider Directory

National Provider Directory

Locations

120 S Myrtle Ave
Monrovia, CA 91016
Phone (626) 699-4613

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1477197564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S FLOWER ST FL 18",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900712201",
            "telephone_number": "562-478-4107",
            "fax_number": "213-260-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 4TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031201",
            "telephone_number": "213-478-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S Myrtle Ave",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "910162845",
            "country_code": "US",
            "telephone_number": "626-699-4613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY CARE HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "EXECUTIVE OPERATIONS",
        "authorized_official_telephone_number": "562-478-4107"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.