A Serene Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

A SERENE SENIOR LIVING LLC

Doing business as

A Serene Senior Living

Practice address

24562 Dardania Ave
Mission Viejo, CA 92691-4623

Phone

(949) 295-6854

Fax

(949) 742-6355

NPI assigned

Apr 17, 2024

Last updated

Apr 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Minerva Banzali Sansano, RNNPI 1174377477

Title

Administrator

Phone

(949) 295-6854

Specialties & licenses 1

Addresses

Other names 1

• A Serene Senior Living Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Minerva Banzali Sansano, RN

  • Administrator Registered Nurse
  • Mission Viejo, CA
  • NPI 1174377477
  NPD Authorized official

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1902650732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WILLOWBROOK LN",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926885551",
            "telephone_number": "949-295-6854",
            "fax_number": "949-742-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24562 DARDANIA AVE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914623",
            "telephone_number": "949-295-6854",
            "fax_number": "949-742-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SERENE SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "SANSANO",
        "authorized_official_first_name": "MINERVA",
        "authorized_official_middle_name": "BANZALI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-295-6854",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Serene Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Mission Viejo, CA
• Providers in Mission Viejo, 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 Apr 17, 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.