Serenity Villa Inc

LBN: Serenity Villa Inc
Serenity Villa Inc is an health care organization with primary practice located at 477 Petaluma Ave , Sebastopol CA 95472. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. Serenity Villa Inc can be contacted via phone (707) 827-3685, or through Reznik, Aida via phone (415) 609-3827.

Contact Information

Primary practice address
477 Petaluma Ave Sebastopol CA 95472
Phone: (707) 827-3685
Fax: (707) 861-9160
Website:
Map and Directions
Authorized official contact:
Name: Reznik, Aida
Phone: (415) 609-3827

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X

Profile Details

NPI number 1952756439
LBN Legal business name Serenity Villa Inc
DBA Doing business as
Authorized official Reznik, Aida
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2016
Last updated May 3rd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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