Serenity Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERENITY ASSISTED LIVING

Practice address

3879 Lafayette St
Riverside, CA 92503-3821

Phone

(909) 653-7912

Fax

(951) 729-6156

NPI assigned

Oct 20, 2021

Organization subpart

No

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

Authorized official

Name

Yenny M. Vieyra AvilesNPI 1588280788

Title

Administrator

Phone

(909) 653-7912

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yenny M Vieyra Aviles

  • Assisted Living Facility
  • Riverside, CA
  • NPI 1588280788
  NPD Authorized official

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1710640263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3879 LAFAYETTE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033821",
            "telephone_number": "909-653-7912",
            "fax_number": "951-729-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3879 LAFAYETTE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033821",
            "telephone_number": "909-653-7912",
            "fax_number": "951-729-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "VIEYRA AVILES",
        "authorized_official_first_name": "YENNY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-653-7912"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Riverside, CA
• Providers in Riverside, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.