Organization Active NPI

Serene Haven Home Care

  • Home Health Agency
  • Alexandria, MN
National Provider Identifier
1013353648
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
29397 Issued in MN
Legal business name
SERENE HAVEN HOME CARE
Practice address
1202 Ridgeview Ter NE
Alexandria, MN 56308-8684
Phone
(218) 205-1361
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Jessica Beske
Title
Owner
Phone
(218) 205-1361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 29397 MN Primary

Addresses

Primary practice location

1202 Ridgeview Ter NE
Alexandria, MN 56308-8684

Mailing address

20620 County Highway 33
Fergus Falls, MN 56537-8244
Phone (218) 205-1361

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1013353648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20620 COUNTY HIGHWAY 33",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565378244",
            "telephone_number": "218-205-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 RIDGEVIEW TER NE",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563088684",
            "telephone_number": "218-205-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HAVEN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "BESKE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-205-1361"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "29397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.