Organization Active NPI

Casa Serena Congregate Living Inc

  • Skilled Nursing Facility
  • Yucaipa, CA
National Provider Identifier
1356164164
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CASA SERENA CONGREGATE LIVING INC
Practice address
31297 Tennessee LN
Yucaipa, CA 92399-1556
Phone
(909) 810-1088
NPI assigned
Nov 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Mrs. Jenaru Vanessa Mion, RN, PHN, MSN
Title
President
Phone
(909) 528-1270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

31297 Tennessee LN
Yucaipa, CA 92399-1556

Mailing address

31297 Tennessee LN
Yucaipa, CA 92399-1556
Phone (840) 213-6228

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2332633Casa Serena Congregate Living Inc31297 Tennessee Lane, Yucaipa, CA 92399Certificate of waiverOct 21, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1356164164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31297 TENNESSEE LN",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991556",
            "telephone_number": "840-213-6228",
            "fax_number": "909-752-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31297 TENNESSEE LN",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991556",
            "telephone_number": "909-810-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA SERENA CONGREGATE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "MION",
        "authorized_official_first_name": "JENARU",
        "authorized_official_middle_name": "VANESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-528-1270",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, PHN, MSN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.