Active NPI
Benedictine Living Community of Wahpeton
Doing business as Siena Court
- Skilled Nursing Facility
- Wahpeton, ND
National Provider Identifier
1861745838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2012
- Organization subpart
- Yes
- Parent organization
- BENEDICTINE LIVING COMMUNITIES, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APPLIED FOR | Medicaid | ND |
Other names 1
- Siena Court
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
- Bakken Chiropractic PC
- Jessica Ann Bakken Paschke, D.C.
- Connor Ramon Barton, DPT
- Benedictine Living Communities, Inc. (Benedictine Home Health)
- Benedictine Living Communities, Inc. (St. Catherine's Living Center)
- Cheri J Berge, NP
- Nicky Besette, LCSW, LICSW
- Megan J Biegler, PA-C
- Meridith Leigh Biel, APRN,CNP
- Grace Birchem-Mangalaw
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.