Serenity Hills Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SERENITY HILLS HOSPICE, INC

Practice address

120 N Victory Blvd Ste 309
Burbank, CA 91502-0001

Phone

(747) 208-3300

Fax

(747) 208-1990

NPI assigned

Dec 29, 2020

Organization subpart

No

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

Authorized official

Name

William Boyrazyan

Title

Ceo

Phone

(747) 208-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31771

Legal name

SERENITY HILLS HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 18, 2022

Last certification

Mar 18, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

120 N Victory Blvd
Ste 309
Burbank, CA 91502-0001

Listed as

Serenity Hills Hospice IncCCN B31771

Certified

Mar 18, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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.

• Louis B Flores, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1760606123

  W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1851988448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N VICTORY BLVD STE 309",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915020001",
            "telephone_number": "747-208-3300",
            "fax_number": "747-208-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N VICTORY BLVD STE 309",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915020001",
            "telephone_number": "747-208-3300",
            "fax_number": "747-208-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HILLS HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "BOYRAZYAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-208-3300"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frida Sepulveda-Bonilla
• Karelly Sepulveda
• Wendoly Sepulveda
• Sebouh J Serabian, M.S. B.C.B.A
• Serenity Healthcare Group, Inc
• Serenity Living on Grinnell Inc
• Sergey E. Akopov, M.D., Inc.
• Jenna Seright
• Don J Serio, D.C.
• Kimberly Serna

• Community Based Hospice Care Agency in Burbank, CA
• Providers in Burbank, 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 May 22, 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.