SERENDIPITE HEALTHCARE GROUP (NPI# 1316358880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316358880 |
| Entity Type | Organization |
| Organization Name | SERENDIPITE HEALTHCARE GROUP |
| Other Organization Name | SUNNYSIDE HOSPICE AND PALLIATIVE CARE |
| Practice Address |
12377 Lewis Street Suite 103 Garden Grove CA 92840-4672 |
| Practice Telephone | 7142032051 |
| Practice Fax Number | 7142036587 |
| Mailing Telephone | 7142032051 |
| Mailing Fax Number | 7142036587 |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | MRS. KATHLEEN KIYOE YANO-PAGADUAN (CEO/PRESIDENT/CFO/SECRETARY) |
| Authorized Official Telephone | 7142032051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Sunnyside Hospice and Palliative Care | Doing Business As Name - Organization |
| Street Address |
12377 LEWIS STREET SUITE 103 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-4672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821636549 | Coastal Hospice of Socal Inc | Hospice Care, Community Based | 12465 Lewis St Ste 206, Garden Grove, CA 92840-4657 | 2019-12-12 |
| 1578110391 | Happy Hospice, Inc | Hospice Care, Community Based | 12755 Brookhurst St Ste 108, Garden Grove, CA 92840-4855 | 2019-08-26 |
| 1205355682 | Azure Hospice Care Inc | Hospice Care, Community Based | 12391 Lewis St Ste 202, Garden Grove, CA 92840-4668 | 2017-09-16 |
| 1366817033 | Unified Hospice Care, LLC | Hospice Care, Community Based | 7077 Orangewood Ave Ste 120, Garden Grove, CA 92841-1439 | 2015-12-07 |
| 1033529763 | Acceptance Hospice, Inc. | Hospice Care, Community Based | 7077 Orangewood Ave Ste 128, Garden Grove, CA 92841-1439 | 2014-05-02 |
| 1205180247 | Hospice of The West, Inc. | Hospice Care, Community Based | 7461 Garden Grove Blvd Ste B, Garden Grove, CA 92841-4227 | 2012-10-29 |
| 1639345010 | Autumn Hospice, Inc. | Hospice Care, Community Based | 12062 Valley View St Ste 216, Garden Grove, CA 92845-1739 | 2008-05-05 |
| 1124145099 | Comfort Hospice Care, Inc. | Hospice Care, Community Based | 12900 Garden Grove Blvd., Suite 130, Garden Grove, CA 92843 | 2007-03-23 |
| 1902944929 | Regency Hospice Inc | Hospice Care, Community Based | 12062 Valley View Street #125, Garden Grove, CA 92845 | 2007-02-02 |
| 1609960897 | Daian Corporation | Hospice Care, Community Based | 10507 Garden Grove Blvd # F, Garden Grove, CA 92843-1128 | 2006-10-03 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
Please comment or provide details below to improve the information on SERENDIPITE HEALTHCARE GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.