CERENITY SENIOR CARE NPI 1639591894

NPI Information

NPI: 1639591894
Provider Name: CERENITY SENIOR CARE

Other Name: CERENITY DAYAWAY - ST AMBROSE

Classification: Respite Care - 385H00000X
Entity Type: Organization

Address:
4125 WOODBURY DR
WOODBURY, MN
ZIP 55129
Phone: (651) 714-1058
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CERENITY SENIOR CARE is a respite care in Woodbury, MN. CERENITY SENIOR CARE NPI is 1639591894. The provider is registered as an organization entity type.
The provider Other Name Is Cerenity Dayaway - St Ambrose.

The provider's business location address is:

4125 WOODBURY DR
WOODBURY, MN
ZIP 55129-627
Phone: (651) 714-1058

The provider's authorized official is Jeffrey Thorne .
The authorized official title is Administrator/ceo and has the following contact phone number (651) 793-2101.

The CLIA number assigned to this NPI record is 24D1026579 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2014 and was last updated on 1/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	385H00000X	Respite Care		1064785-1-ADC	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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