Healthcare Provider Details

I. General information

NPI: 1205787108
Provider Name (Legal Business Name): SERENE VALLEY HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4837 E MCKINLEY AVE
FRESNO CA
93703-3532
US

IV. Provider business mailing address

4837 E MCKINLEY AVE
FRESNO CA
93703-3532
US

V. Phone/Fax

Practice location:
  • Phone: 559-492-2876
  • Fax: 559-412-7642
Mailing address:
  • Phone: 559-492-2876
  • Fax: 559-412-7642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIYA NKAUJNOOG LOR
Title or Position: OWNER/MEMBERS
Credential: LOR
Phone: 559-417-1795