Cerenity Senior Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

245479 Issued in MN

Legal business name

CERENITY SENIOR CARE

Doing business as

Cerenity Residence on Humboldt

Practice address

514 Humboldt Ave
Saint Paul, MN 55107-4013

Phone

(651) 220-1700

Fax

(651) 220-1724

NPI assigned

Oct 28, 2005

Last updated

May 28, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

CERENITY SENIOR CAREAs reported in NPPES

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

Authorized official

Name

Krista Siddiqui

Title

Administrator

Phone

(651) 220-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cerenity Residence on Humboldt Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Cerenity Senior Care

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Healtheast Care System

  dba HealthEast Home Care

  • Home Health Agency
  • Saint Paul, MN
  • NPI 1548595218

  Member Of

  NPD member
• Clement Manor, Inc.

  • Skilled Nursing Facility
  • Greenfield, WI
  • NPI 1114923935

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cerenity Senior Care

  dba Cerenity Care Center Bethesda St Paul

  • Skilled Nursing Facility
  • South St Paul, MN
  • NPI 1558351890
  NPPES parent name

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1881685915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 HUMBOLDT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551074013",
            "telephone_number": "651-220-1700",
            "fax_number": "651-220-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 HUMBOLDT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551074013",
            "telephone_number": "651-220-1700",
            "fax_number": "651-220-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERENITY SENIOR CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CERENITY SENIOR CARE",
        "enumeration_date": "2005-10-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-220-1700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "245479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554816100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerenity Residence on Humboldt",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cerenity Residence on Humboldt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Towers Limited Partnership
• Ariel Roman Centurion, MD
• Cerenity Senior Care (Cerenity Care Center on Humboldt)
• Cerenity Senior Care
• Cerenity Senior Care (Cerenity Care Center - Marian of Saint Paul)
• Cerenity-Marian of St. Paul, LLC
• Ericka A Cermak
• Peter Cermak, M.D.
• Jasmine Ceron
• Chue Ying Cha, DDS

• Skilled Nursing Facility in Saint Paul, MN
• Providers in Saint 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 May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.