Healthcare Provider Details

I. General information

NPI: 1033025267
Provider Name (Legal Business Name): SERENITY HAVEN SENIOR LIVING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8725 PATHFINDER CT # 95662
ORANGEVALE CA
95662-4066
US

IV. Provider business mailing address

8725 PATHFINDER CT # 95662
ORANGEVALE CA
95662-4066
US

V. Phone/Fax

Practice location:
  • Phone: 916-796-3621
  • Fax:
Mailing address:
  • Phone: 916-796-3621
  • Fax:

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: CHRISTINA ANDREASYAN
Title or Position: LICENSEE
Credential:
Phone: 916-796-3621