Organization Active NPI

Benedictine Living Community of Wahpeton

Doing business as Siena Court

  • Skilled Nursing Facility
  • Wahpeton, ND
National Provider Identifier
1861745838
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BENEDICTINE LIVING COMMUNITY OF WAHPETON
Doing business as
Siena Court
Practice address
711 14TH Avenue North
Wahpeton, ND 58075
Phone
(701) 642-6667
NPI assigned
Oct 16, 2012
Last updated
Oct 16, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
BENEDICTINE LIVING COMMUNITIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Emmy Tretter
Title
Administrator/Ceo
Phone
(701) 642-6667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X ND Primary

Addresses

Primary practice location

711 14TH Avenue North
Wahpeton, ND 58075

Mailing address

711 14TH Avenue North
Wahpeton, ND 58075
Phone (701) 642-6667

Other identifiers 1

IdentifierTypeStateIssuer
APPLIED FORMedicaidND

Other names 1

  • Siena Court Doing business as

National Provider Directory

National Provider Directory
Part of
BHS Long Term Care Inc

Locations

711 14th Ave N
Wahpeton, ND 58075
Phone (701) 642-6667

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1861745838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 14TH AVENUE NORTH",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "58075",
            "telephone_number": "701-642-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 14TH AVENUE NORTH",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "58075",
            "telephone_number": "701-642-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEDICTINE LIVING COMMUNITY OF WAHPETON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENEDICTINE LIVING COMMUNITIES, INC.",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "TRETTER",
        "authorized_official_first_name": "EMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "701-642-6667"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED FOR",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siena Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wahpeton, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.