Serani Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SERANI HOSPICE

Practice address

14545 Friar St Ste 237F
Van Nuys, CA 91411-2397

Phone

(904) 990-0099

NPI assigned

Oct 6, 2020

Organization subpart

No

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

Authorized official

Name

Seryozha Vardazaryan

Title

Ceo

Phone

(818) 387-6947

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51751

Legal name

SERANI HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 20, 2023

Last certification

Aug 4, 2023

Organization structure

CorporationProprietary

Enrollment address

1010 N Central Ave
Unit 301
Glendale, CA 91202-2937

Listed as

Serani HospiceCCN B51751 · All quality measures

Certified

Aug 20, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Dushyant Viswanathan, M.D.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1285897421

  W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1508463225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 237F",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 237F",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "904-990-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERANI HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "VARDAZARYAN",
        "authorized_official_first_name": "SERYOZHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-387-6947"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sepulveda Optimal Health Care Inc
• Sepulveda Rehabilitation Center
• Blanca Isela Sepulveda, M.S.
• Sera Healthcare
• Serani Homehealth
• Serendib Healthways, Inc
• Serendib Healthways, Inc
• Serene Touch Home Health, Inc.
• Serene Touch Hospice, Inc
• Serenity Hospice Services

• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.