Provider Demographics
NPI:1043191430
Name:SERENE CARE HOMES
Entity type:Organization
Organization Name:SERENE CARE HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAITESI
Authorized Official - Middle Name:
Authorized Official - Last Name:BGOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-768-0299
Mailing Address - Street 1:302 N DORIS ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-2427
Mailing Address - Country:US
Mailing Address - Phone:316-768-0299
Mailing Address - Fax:316-669-9622
Practice Address - Street 1:302 N DORIS ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-2427
Practice Address - Country:US
Practice Address - Phone:316-768-0299
Practice Address - Fax:316-669-9622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility