Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CASA SERENA CONGREGATE LIVING INC
NPI 1356164164
Skilled Nursing Facility in Yucaipa, CA

Active since November 01, 2024CLIA 05D2332633 · Waiver
31297 TENNESSEE LN, YUCAIPA, CA 92399(909) 810-1088 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Casa Serena Congregate Living Inc NPPES

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

CASA SERENA CONGREGATE LIVING INC (NPI 1356164164) is a healthcare organization registered as a skilled nursing facility in Yucaipa, California and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Jenaru Vanessa Mion, President, as its authorized official.

NPPES Registry Identity

NPI1356164164
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCASA SERENA CONGREGATE LIVING INC
Location Address31297 TENNESSEE LNYucaipa, CA 92399-1556
Mailing Address31297 Tennessee LnYucaipa, CA 92399-1556 · (840) 213-6228 · Fax (909) 752-5297
Organization SubpartNo
Authorized OfficialJenaru Vanessa MionPresident · (909) 528-1270
Enumeration DateNovember 1, 2024
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
NPI 1356164164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
31297 TENNESSEE LN, Yucaipa, CA 92399

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2332633

Casa Serena Congregate Living Inc · Yucaipa, CA
Active · expires Oct 21, 2027
CLIA Number05D2332633
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorStacy Ernest
Laboratory Phone(909) 582-1270
Laboratory LocationCasa Serena Congregate Living Inc31297 Tennessee Lane, Yucaipa, CA 92399
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Casa Serena Congregate Living Inc's NPI number?

The NPI number for Casa Serena Congregate Living Inc is 1356164164. It was assigned to this organization in the NPPES registry on November 1, 2024.

Where is Casa Serena Congregate Living Inc located?

Casa Serena Congregate Living Inc is located at 31297 Tennessee Ln, Yucaipa, CA 92399. The listed phone number is (909) 810-1088.

What is Casa Serena Congregate Living Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Casa Serena Congregate Living Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2332633) is associated with this NPI, valid through October 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Casa Serena Congregate Living Inc was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.