Sanctuary St. Cloud Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SANCTUARY ST. CLOUD OPERATIONS, LLC

Doing business as

Sanctuary of St. Cloud

Practice address

2410 20TH Ave SE
Saint Cloud, MN 56304-4708

Phone

(320) 252-6325

Fax

(320) 252-2276

NPI assigned

Dec 28, 2017

Organization subpart

No

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

Authorized official

Name

Jody Barney

Title

Regional Al Director

Phone

(612) 770-3751

Specialties & licenses 1

Addresses

Other names 1

• Sanctuary of St. Cloud Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1285140251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 20TH AVE SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563044708",
            "telephone_number": "320-252-6325",
            "fax_number": "320-252-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 20TH AVE SE",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563044708",
            "telephone_number": "320-252-6325",
            "fax_number": "320-252-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY ST. CLOUD OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "BARNEY",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "REGIONAL AL DIRECTOR",
        "authorized_official_telephone_number": "612-770-3751"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanctuary of St. Cloud",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samsam Transportation LLC
• Sana Homecare LLC
• Cara A Sanborn, RN
• Haley Sanchez, MSW, LGSW
• Jazmine Veronica Sanchez, LPN
• Katrina Van Andel Sand, OTR/L
• Tina Marie Sand
• Cynthia A Sandberg, CFNP CPNP RN
• Tiffany Nicole Sande, APRN,CNP,DNP
• Paul Robert Sander, MD

• Assisted Living Facility in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.