Organization Active NPI

Cerenity Senior Care

  • Skilled Nursing Facility
  • Saint Paul, MN
National Provider Identifier
1174514285
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
327332 Issued in MN
Legal business name
CERENITY SENIOR CARE
Practice address
753 7TH St E
Saint Paul, MN 55106-5025
Phone
(651) 776-4107
Fax
(651) 776-5481
NPI assigned
Oct 31, 2005
Last updated
Jul 16, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
CERENITY SENIOR CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Mr. Charles Heidbrink
Title
Vice President
Phone
(651) 793-2169

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 327477 MN
Skilled Nursing Facility 314000000X 327332 MN Primary

Addresses

Primary practice location

753 7TH St E
Saint Paul, MN 55106-5025

Mailing address

753 7TH St E
Saint Paul, MN 55106-5025
Phone (651) 776-4107

Other names 1

  • Cerenity Care Center on Dellwood Place Other name

National Provider Directory

National Provider Directory
Part of
Cerenity Senior Care

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1174514285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065025",
            "telephone_number": "651-776-4107",
            "fax_number": "651-776-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065025",
            "telephone_number": "651-776-4107",
            "fax_number": "651-776-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERENITY SENIOR CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CERENITY SENIOR CARE",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "HEIDBRINK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "651-793-2169",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "327477",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "327332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerenity Care Center on Dellwood Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.