Serenity Care Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERENITY CARE MANOR

Practice address

1833 Kolob Dr
Fairfield, CA 94534-2924

Phone

(510) 965-8350

NPI assigned

May 16, 2024

Organization subpart

No

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

Authorized official

Name

Emmanuel Patricio Salas, RCFE ADMINISTRATOR

Title

Administrator

Phone

(510) 965-8350

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1811746209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13904 CARDIGAN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933148994",
            "telephone_number": "510-965-8350",
            "fax_number": "651-855-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 KOLOB DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945342924",
            "telephone_number": "510-965-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "PATRICIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-965-8350",
        "authorized_official_credential": "RCFE ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerwyn Carriger Sendaydiego, M.A., P.P.S, M.F.T.I
• Seneca Center
• Seneca Family of Agencies (Solano Family Support Program)
• Senior Care Pharmacy Services Fairfield Inc (Senior Care Pharmacy Services)
• Grace Senoga
• Karla Soraya Serrano, RN
• Deborah Serviss
• David Anthony Sestero, DDS
• Michelle Setliff
• Seturam Pandurangi MD a Profession Corporation

• Assisted Living Facility in Fairfield, CA
• Providers in Fairfield, 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 May 21, 2024; 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.