Healthcare Provider Details

I. General information

NPI: 1689598138
Provider Name (Legal Business Name): SERENE JOY HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7615 ORANGEBROOK CV
RIVERSIDE CA
92507-1557
US

IV. Provider business mailing address

7615 ORANGEBROOK CV
RIVERSIDE CA
92507-1557
US

V. Phone/Fax

Practice location:
  • Phone: 909-747-7077
  • Fax:
Mailing address:
  • Phone: 909-747-7077
  • 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: ELRHINE JOY HOLCOMB
Title or Position: LICENSEE AND ADMINISTRATOR
Credential: ADMINISTRATOR
Phone: 909-747-7077