Organization Active NPI

Aspen Serenity Home LLC

  • Assisted Living Facility
  • Upland, CA
National Provider Identifier
1750299244
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ASPEN SERENITY HOME LLC
Practice address
326 Canterbury CT
Upland, CA 91784-8923
Phone
(424) 744-0604
NPI assigned
Aug 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Ali Alktaifi, MD
Title
Owner
Phone
(818) 428-8938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

326 Canterbury CT
Upland, CA 91784-8923

Mailing address

326 Canterbury CT
Upland, CA 91784-8923
Phone (424) 744-0604

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1750299244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 CANTERBURY CT",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917848923",
            "telephone_number": "424-744-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 CANTERBURY CT",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917848923",
            "telephone_number": "424-744-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN SERENITY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "ALKTAIFI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-428-8938",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.