Healthcare Provider Details

I. General information

NPI: 1477463057
Provider Name (Legal Business Name): SERENE MEADOW HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 WHITMAN RD
CONCORD CA
94518-3328
US

IV. Provider business mailing address

125 COBBLESTONE LN
SAN RAMON CA
94583-1755
US

V. Phone/Fax

Practice location:
  • Phone: 925-289-9008
  • Fax: 925-269-4353
Mailing address:
  • Phone: 925-289-9008
  • Fax: 925-269-4353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: SURESHKUMAR REDDY
Title or Position: ADMINISTRATOR
Credential:
Phone: 925-289-9008