Serenity Lakes Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY LAKES HOME CARE

Practice address

503 N Lake Ave
Battle Lake, MN 56515-4056

Phone

(218) 205-6753

NPI assigned

Jan 20, 2011

Organization subpart

No

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

Authorized official

Name

Jessica Lynn Beske, RN

Title

Owner/Partner

Phone

(218) 205-6753

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1679878847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 NORTH LAKE AVE",
            "city": "BATTLE LAKE",
            "state": "MN",
            "postal_code": "56515",
            "telephone_number": "218-205-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N LAKE AVE",
            "city": "BATTLE LAKE",
            "state": "MN",
            "postal_code": "565154056",
            "telephone_number": "218-205-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY LAKES HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "BESKE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "218-205-6753",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.