Organization Active NPI

Serene Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • La Crescenta, CA
National Provider Identifier
1629341763
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SERENE HOSPICE CARE, INC.
Practice address
3131 Foothill Blvd Ste J
La Crescenta, CA 91214-4232
Phone
(818) 300-7779
Fax
(818) 745-0985
NPI assigned
Feb 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Nona Janszyan-OrdubegianNPI 1992094643
Title
Ceo
Phone
(818) 330-7779

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)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3131 Foothill Blvd Ste J
La Crescenta, CA 91214-4232

Mailing address

3131 Foothill Blvd Ste J
La Crescenta, CA 91214-4232
Phone (818) 300-7779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120328000883 CA Part A Provider - Hospice 4082874052 Practice locations: La Crescenta, CA

Hospice certification: CCN 921661

Legal name
SERENE HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 31, 2017
Last certification
Jul 9, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
3131 Foothill Blvd
Ste J
La Crescenta, CA 91214-4232

Care Compare: Hospice

Medicare Care Compare
Listed as
Serene Hospice Care, IncCCN 921661 · All quality measures
Ownership
For-Profit
Certified
May 31, 2017
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2101198Serene Hospice Care Inc3131 Foothill Boulevard, Suite J, La Crescenta, CA 91214Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory

Locations

1827 W Verdugo Ave
Ste D
Burbank, CA 91506

1827 W Verdugo Ave
#D
Burbank, CA 91506
Phone (818) 848-3996

3131 Foothill Blvd
Ste J
La Crescenta, CA 91214
Phone (818) 300-7779

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Shuo Steven Wang Individual Contracted Managing EmployeeMD; Sep 30, 2025
Xuanru Jin Individual Corporate OfficerBoard Member, President, Adminis Sep 30, 2025
Corporate DirectorBoard Member, President, Adminis Sep 30, 2025
W-2 Managing Employee Sep 30, 2025
Xiangyu a Piao Individual 5% Or Greater Direct Ownership Interest Sep 30, 2025 100%
Corporate OfficerCeo, Cfo and Secretary Sep 30, 2025
Corporate DirectorCeo, Cfo and Secretary Sep 30, 2025
W-2 Managing EmployeeCeo, Cfo and Secretary Sep 30, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1629341763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 FOOTHILL BLVD STE J",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144232",
            "telephone_number": "818-300-7779",
            "fax_number": "818-745-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 FOOTHILL BLVD STE J",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144232",
            "telephone_number": "818-300-7779",
            "fax_number": "818-745-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "JANSZYAN-ORDUBEGIAN",
        "authorized_official_first_name": "NONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-330-7779"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

Verify at the official NPI Registry.