Active NPI
Serene Haven Home Care
- Home Health Agency
- Alexandria, MN
National Provider Identifier
1013353648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 29397
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.