Healthcare Provider Details

I. General information

NPI: 1376456350
Provider Name (Legal Business Name): THE SERENITY LIVING HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 KINGS WAY
SUISUN CITY CA
94585
US

IV. Provider business mailing address

26596 DURHAM WAY
HAYWARD CA
94542
US

V. Phone/Fax

Practice location:
  • Phone: 707-759-4887
  • Fax: 707-920-2912
Mailing address:
  • Phone: 510-556-9743
  • Fax: 707-920-2912

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: ANIRUDH WADHWA
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 510-556-9743