Organization Active NPI

Serene Valley Healthcare, LLC

  • Adult Day Care Clinic/Center
  • Fresno, CA
National Provider Identifier
1205787108
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SERENE VALLEY HEALTHCARE, LLC
Practice address
4837 E McKinley Ave
Fresno, CA 93703-3532
Phone
(559) 492-2876
Fax
(559) 412-7642
NPI assigned
Feb 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kiya Nkaujnoog Lor, LOR
Title
Owner/Members
Phone
(559) 417-1795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

4837 E McKinley Ave
Fresno, CA 93703-3532

Mailing address

4837 E McKinley Ave
Fresno, CA 93703-3532
Phone (559) 492-2876

National Provider Directory

National Provider Directory

Locations

4837 E McKinley Ave
Fresno, CA 93703
Phone (559) 414-5001

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1205787108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 E MCKINLEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937033532",
            "telephone_number": "559-492-2876",
            "fax_number": "559-412-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4837 E MCKINLEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937033532",
            "telephone_number": "559-492-2876",
            "fax_number": "559-412-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE VALLEY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "LOR",
        "authorized_official_first_name": "KIYA",
        "authorized_official_middle_name": "NKAUJNOOG",
        "authorized_official_title_or_position": "OWNER/MEMBERS",
        "authorized_official_telephone_number": "559-417-1795",
        "authorized_official_credential": "LOR"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.