Servants of Relief for Incurable Cancer

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

02827ADMINISTRATOR Issued in MN

Legal business name

SERVANTS OF RELIEF FOR INCURABLE CANCER

Practice address

2076 St Anthony Avenue
St Paul, MN 55104-5028

Phone

(651) 646-2797

Fax

(651) 646-7884

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Claire Therese Nadeau

Title

Administrator

Phone

(651) 646-2797

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Our Lady of Good Counsel Home Doing business as

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750597746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 ST ANTHONY AVENUE",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551045028",
            "telephone_number": "651-646-2797",
            "fax_number": "651-646-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 ST ANTHONY AVENUE",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551045028",
            "telephone_number": "651-646-2797",
            "fax_number": "651-646-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANTS OF RELIEF FOR INCURABLE CANCER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NADEAU",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-646-2797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "02827ADMINISTRATOR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH FACILITY",
            "identifier": "869",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Lady of Good Counsel Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Serenity Wellness
• Sernee LLC
• Valeria Serrano Guerrero
• Jean Kristine Sershen, L.P.C.
• Madeline Servais, RD
• Services for Homelessness and Addiction Rehab Education
• McKenzie Sesterhenn, SLP
• Susan Patricia Sethna, LICSW
• Kristy Ann Setnes, PT
• Kristofer Setterstrom

• Skilled Nursing Facility in St Paul, MN
• Providers in St Paul, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.