DIVINE SERENITY FOUNDATION – NPI #1295677391
Licensed Vocational Nurse

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

Health Care Provider Taxonomy Code for Licensed Vocational Nurse

DIVINE SERENITY FOUNDATION is a licensed vocational nurse (LVN) located in APPLE VALLEY, CA. NPPES recently assigned the NPI number 1295677391 to DIVINE SERENITY FOUNDATION on April 07, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 164X00000X from the Health Care Provider Taxonomy code set, which is classified as Licensed Vocational Nurse.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIVINE SERENITY FOUNDATION below.

NPI Profile for
DIVINE SERENITY FOUNDATION

NPI Number
1295677391
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIVINE SERENITY FOUNDATION
Primary location
26625 ROUNDUP WAY
APPLE VALLEY, CA 92308-0542
Phone: (323) 360-3779 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LETRICIA WALTON
CEO
Phone: (323) 360-3779
Updated
Certification Date
Apr 07, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
164X00000X
- Licensed Vocational Nurse (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.