Cerenity Residence On Humboldt

LBN: Cerenity Senior Care
Cerenity Residence On Humboldt is an health care organization with primary practice located at 514 Humboldt Ave , Saint Paul MN 55107-4013. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Cerenity Senior Care can be contacted via phone (651) 220-1700, or through Siddiqui, Krista via phone (651) 220-1700.

Contact Information

Primary practice address
514 Humboldt Ave Saint Paul MN 55107-4013
Fax: (651) 220-1724
Website:
Authorized official contact:
Name: Siddiqui, Krista

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 245479 Minnesota

Profile Details

NPI number 1881685915
LBN Legal business name Cerenity Senior Care
DBA Doing business as Cerenity Residence On Humboldt
Authorized official Siddiqui, Krista
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 28th, 2005
Last updated May 28th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881685915 NPPES
Minnesota MEDICAID 554816100

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