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FOOTHILL SERENITY LIVING LLC
NPI 1023885910
Custodial Care Facility - Adult Care Home in Fontana, CA

Active since December 11, 2023
8024 REDWOOD AVE, FONTANA, CA 92336(909) 371-3966 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Foothill Serenity Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOOTHILL SERENITY LIVING LLC (NPI 1023885910), doing business as Foothill Serenity Living, is a healthcare organization registered as an adult care home in Fontana, California and active in the NPI registry since December 2023. The organization lists Marydes A Guevarra, Sole Llc Member, as its authorized official.

NPPES Registry Identity

NPI1023885910
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameFOOTHILL SERENITY LIVING LLC
Location Address8024 REDWOOD AVEFontana, CA 92336-1640
Mailing Address235 Chestnut AveLos Angeles, CA 90042-3735 · (213) 618-0938 · Fax (213) 618-0938
Phone(909) 371-3966
Organization SubpartNo
Authorized OfficialMarydes A GuevarraSole Llc Member · (213) 618-0938
Enumeration DateDecember 11, 2023
NPPES CertifiedDecember 11, 2023
✔ NPI 1023885910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
8024 REDWOOD AVE, Fontana, CA 92336
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Other Names 1

Doing Business AsFoothill Serenity Living

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELS ASSISTED LIVING
Assisted Living Facility (Assisted Living, Mental Illness)
8024 REDWOOD AVE
FONTANA, CA 92336
San Bernardino County (909) 371-3966

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Foothill Serenity Living LLC's NPI number?

The NPI number for Foothill Serenity Living LLC is 1023885910. It was assigned to this organization in the NPPES registry on December 11, 2023. The provider is doing business as Foothill Serenity Living.

Where is Foothill Serenity Living LLC located?

Foothill Serenity Living LLC is located at 8024 Redwood Ave, Fontana, CA 92336. The listed phone number is (909) 371-3966.

What is Foothill Serenity Living LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Foothill Serenity Living LLC was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.