The Elders Nest LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE ELDERS NEST LLC

Practice address

316 61St St SW
Waverly, MN 55390-7502

Phone

(763) 658-4123

Fax

(888) 446-4096

NPI assigned

Dec 1, 2021

Last updated

Dec 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cherene Suzanne Beatty, CNA, ALDIR

Title

Owner

Phone

(763) 658-4123

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1336807833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 61ST ST SW",
            "city": "WAVERLY",
            "state": "MN",
            "postal_code": "553907502",
            "telephone_number": "763-658-4123",
            "fax_number": "888-446-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 61ST ST SW",
            "city": "WAVERLY",
            "state": "MN",
            "postal_code": "553907502",
            "telephone_number": "763-658-4123",
            "fax_number": "888-446-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELDERS NEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "CHERENE",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-658-4123",
        "authorized_official_credential": "CNA, ALDIR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Waverly, MN
• Providers in Waverly, 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 Dec 1, 2021; 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.