CERENITY DAYAWAY - ST AMBROSE
NPI 1639591894
Respite Care in Woodbury, MN

Active since January 07, 2014CLIA 24D1026579 · Waiver
4125 WOODBURY DR, WOODBURY, MN 55129(651) 714-1058 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cerenity Dayaway - St Ambrose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CERENITY DAYAWAY - ST AMBROSE (NPI 1639591894) is a healthcare organization registered as a respite care in Woodbury, Minnesota and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Jeffrey Thorne, Administrator/ceo, as its authorized official.

NPPES Registry Identity

NPI1639591894
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NameCERENITY SENIOR CARE
Location Address4125 WOODBURY DRWoodbury, MN 55129-9627
Mailing Address200 Earl StSaint Paul, MN 55106-6714 · (651) 793-2100 · Fax (651) 771-4509
Organization SubpartYes
Authorized OfficialJeffrey ThorneAdministrator/ceo · (651) 793-2101
Enumeration DateJanuary 7, 2014
NPI 1639591894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
License Licensed in MN · 1064785-1-ADC
4125 WOODBURY DR, Woodbury, MN 55129

Other Names 1

Other NameCerenity Dayaway - St Ambrose

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1026579

Cerenity Senior Care - Marian Of St Paul · Saint Paul, MN
Active · expires Jun 8, 2028
CLIA Number24D1026579
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorKay M. Schumacher
Laboratory Phone(651) 793-2101
Laboratory LocationCerenity Senior Care - Marian Of St Paul200 Earl Street, Saint Paul, MN 55106
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cerenity Senior Care's NPI number?

The NPI number for Cerenity Senior Care is 1639591894. It was assigned to this organization in the NPPES registry on January 7, 2014. The provider is also known as Cerenity Dayaway - St Ambrose.

Where is Cerenity Senior Care located?

Cerenity Senior Care is located at 4125 Woodbury Dr, Woodbury, MN 55129. The listed phone number is (651) 714-1058.

What is Cerenity Senior Care's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

Does Cerenity Senior Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1026579) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cerenity Senior Care was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.