Individual provider Active NPI

Betty Karen Voss Haberle, DIRECTOR

  • Respite Care
  • Saint Cloud, MN
National Provider Identifier
1346800687
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
1039502 Issued in MN
Practice address
1971 Pine Cone Rd
Saint Cloud, MN 56303-4618
Phone
(320) 260-5251
Fax
(320) 251-5396
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 1039502 MN Primary

Addresses

Primary practice location

1971 Pine Cone Rd
Saint Cloud, MN 56303-4618

Mailing address

24910 County Road 137
Saint Augusta, MN 56301-9707
Phone (320) 260-5251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1039502MNMDRespite Care

Practice roles

OrganizationSpecialtyStatusNew patients
A Home for the Day Respite Care PastSince May 24, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1346800687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24910 COUNTY ROAD 137",
            "city": "SAINT AUGUSTA",
            "state": "MN",
            "postal_code": "563019707",
            "telephone_number": "320-260-5251",
            "fax_number": "320-251-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 PINE CONE RD",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034618",
            "telephone_number": "320-260-5251",
            "fax_number": "320-251-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSS HABERLE",
        "first_name": "BETTY",
        "middle_name": "KAREN",
        "credential": "DIRECTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MN",
            "license": "1039502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.