CERENITY RESIDENCE ON HUMBOLDT
NPI 1881685915
Skilled Nursing Facility in Saint Paul, MN

Active since October 28, 2005CLIA Certified · 2 labs
514 HUMBOLDT AVE, SAINT PAUL, MN 55107(651) 220-1700(651) 220-1724 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cerenity Residence On Humboldt NPPES

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

CERENITY RESIDENCE ON HUMBOLDT (NPI 1881685915) is a healthcare organization registered as a skilled nursing facility in Saint Paul, Minnesota and active in the NPI registry since October 2005. The organization holds 2 active CLIA laboratory certificates and lists Krista Siddiqui, Administrator, as its authorized official.

NPPES Registry Identity

NPI1881685915
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCERENITY SENIOR CARE
Location Address514 HUMBOLDT AVESaint Paul, MN 55107-4013
Mailing Address514 Humboldt AveSaint Paul, MN 55107-4013 · (651) 220-1700 · Fax (651) 220-1724
Fax(651) 220-1724
Organization SubpartYes
Authorized OfficialKrista SiddiquiAdministrator · (651) 220-1700
Enumeration DateOctober 28, 2005
Last NPPES UpdateMay 28, 2021
NPPES CertifiedMay 28, 2021
NPI 1881685915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MN · 245479
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
514 HUMBOLDT AVE, Saint Paul, MN 55107

Other Names 1

Doing Business AsCerenity Residence On Humboldt

Other Identifiers 1

Medicaid554816100MN

CLIA Laboratory Certificates CMS CLIA 2

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 24D2014488

Cerenity Residence On Humboldt · Saint Paul, MN
Active · expires Oct 11, 2026
CLIA Number24D2014488
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorKristi Funk
Laboratory Phone(651) 220-1700
Laboratory LocationCerenity Residence On Humboldt514 Humboldt Avenue, Saint Paul, MN 55107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D0664679

Cerenity Senior Care-Humboldt · Saint Paul, MN
Active · expires Aug 31, 2026
CLIA Number24D0664679
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrianna Perttula
Laboratory Phone(651) 220-1700
Laboratory LocationCerenity Senior Care-Humboldt512 Humboldt Avenue, Saint Paul, MN 55107
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
514 HUMBOLDT AVE
SAINT PAUL, MN 55107

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 1881685915. It was assigned to this organization in the NPPES registry on October 28, 2005. The provider is doing business as Cerenity Residence On Humboldt.

Where is Cerenity Senior Care located?

Cerenity Senior Care is located at 514 Humboldt Ave, Saint Paul, MN 55107. The listed phone number is (651) 220-1700.

What is Cerenity Senior Care's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Cerenity Senior Care hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cerenity Senior Care was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.