SERENITY LIVING CENTER (NPI# 1003289406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003289406 |
| Entity Type | Organization |
| Organization Name | SERENITY LIVING CENTER |
| Other Organization Name | SERENITY ASSISTED LIVING |
| Practice Address |
1125 Oakview Dr Dilworth MN 56529-1827 |
| Practice Telephone | 2184777254 |
| Practice Fax Number | 2184777255 |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |
| Authorized Official Name | MR. RICHARD ANDERSON (MANAGER) |
| Authorized Official Telephone | 2184777254 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 372061 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UMPI | M183447400 | 01 |
| MN | UMPI | M559433000 | 01 |
| Other Name | Type Code |
|---|---|
| Serenity Assisted Living | Doing Business As Name - Organization |
| Street Address |
1125 OAKVIEW DR |
| City | DILWORTH |
| State | MN |
| Zip Code | 56529-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386780187 | Linda Jo Spitzer | Optometrist | 1675 Center Ave W, Sinkler Optical Suite C, Dilworth, MN 56529 | 2007-01-29 |
| 1033279724 | Isd 2164 | Local Education Agency (LEA) | 108 Main Street North, Dilworth, MN 56529 | 2006-12-11 |
| 1609977354 | Darin L Edeen | Dentist | 802 Center Ave West, Dilworth, MN 56529 | 2006-09-26 |
| 1295871002 | Sinkler Optical Fm Inc | Eyewear Supplier (Equipment, not the service) | 1675 Center Ave W, Dilworth, MN 56529 | 2007-01-29 |
| 1164505251 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 415 34th St N, Dilworth, MN 56529 | 2006-10-23 |
| 1407221278 | Sharlene Stoering | Contractor | 102 8th St Nw, Dilworth, MN 56529-1003 | 2015-12-04 |
| 1386000933 | Janae Moe | Physical Therapy Assistant | 606 5th St Ne, Dilworth, MN 56529-1125 | 2016-01-12 |
| 1053667493 | Neff Dialysis LLC | Clinic/Center | 1710 Center Ave W, Dilworth, MN 56529-1309 | 2012-08-02 |
| 1043512031 | Grand St. Paul Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1714 Center Ave W, Dilworth, MN 56529-1330 | 2010-11-23 |
| 1801417928 | Molly Askegaard | Pharmacist | 1714 Center Ave W, Dilworth, MN 56529-1330 | 2020-04-29 |
| Find all providers in zip 56529 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193417 | Midwest Group Home | Assisted Living Facility | 4232 5th St Ne, Columbia Heights, MN 55421-2860 | 2020-10-30 |
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
| 1326651779 | Secured Health and Homecare Inc | Assisted Living Facility | 4519 104th Ave N, Brooklyn Park, MN 55443-1030 | 2020-08-26 |
| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.