Healthcare Provider Details

I. General information

NPI: 1508701798
Provider Name (Legal Business Name): SERENITY OAKS FACILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 HUMBOLDT RD
CHICO CA
95928-9124
US

IV. Provider business mailing address

PO BOX 4730
MODESTO CA
95352-4730
US

V. Phone/Fax

Practice location:
  • Phone: 530-630-3003
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: SERA JENSEN
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 530-630-3003