NPI 1639689409 · live from the CMS NPI Registry
Cerenity-Marian Of St. Paul, LLC
Skilled Nursing Facility in Saint Paul, MN. National Provider Identifier 1639689409, active.
NPI record
| NPI | 1639689409 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 200 Earl St, Saint Paul, MN 55106 |
| Practice phone | 651-793-2100 |
| Mailing address | 6499 University Ave Ne, Minneapolis, MN 55432 |
| Enumerated | October 6, 2017 |
| Last updated | May 28, 2021 |
| Authorized official | Tricia Bergien, Assistant Treasurer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.