CREST VIEW CORPORATION (NPI# 1205386091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205386091 |
| Entity Type | Organization |
| Organization Name | CREST VIEW CORPORATION |
| Other Organization Name | CREST VIEW SENIOR COMMUNITY AT BLAINE |
| Practice Address |
12016 Ulysses St Ne Blaine MN 55434 |
| Mailing Address |
4444 Reservoir Blvd Columbia Heights MN 55421-3255 |
| Practice Telephone | 7637821611 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | SHIRLEY BARNES (CEO) |
| Authorized Official Telephone | 7637821611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | IN PROGRESS | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Crest View Senior Community at Blaine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386978922 | Crest View Corporation | Home Health | 1515 44th Ave Ne, Columbia Heights, MN 55421-3003 | 2009-09-30 |
| 1336232057 | Crest View Corporation | Home Health | 4444 Reservoir Blvd Ne, Columbia Heights, MN 55421 | 2006-10-02 |
| 1497316129 | Crest View Corporation | Home Health | 1515 44th Ave Ne, Columbia Heights, MN 55421-3003 | 2019-06-24 |
| 1568796100 | Crest View Corporation | Assisted Living Facility | 4444 Reservoir Blvd, Columbia Heights, MN 55421-3255 | 2009-09-30 |
| Street Address |
12016 ULYSSES ST NE |
| City | BLAINE |
| State | MN |
| Zip Code | 55434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1033770714 | Enduring Home Health Care Corp | Home Health | 10812 Fillmore Street, Blaine, MN 55434 | 2019-06-24 |
| 1932762408 | Vital Agency LLC | In Home Supportive Care | 12864 Fillmore Street Ne, Blaine, MN 55434 | 2019-04-19 |
| 1548751654 | Dustin Adam Kakach | Pharmacist | 600 County Hwy 10, Blaine, MN 55434 | 2018-05-24 |
| 1598253445 | Jacob James Apland | Behavioral Analyst | 12401 Oak Park Blvd Ne Apt 316, Blaine, MN 55434 | 2018-04-26 |
| 1962921924 | Mw Minnetonka Operating LLC | Assisted Living Facility | 1005 Paul Parkway Ne, Blaine, MN 55434 | 2017-09-11 |
| 1922526961 | Blaine Asc, LLC | Clinic/Center | 11225 Ulysses Street Northeast, Blaine, MN 55434 | 2017-08-30 |
| 1629591334 | Minnehaha Transportation Inc | Non-emergency Medical Transport (VAN) | 2507 Walnut St, Roseville, MN 55434 | 2017-07-25 |
| 1629590872 | Alexandra Staum Reif | Pediatrics | 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 | 2017-07-10 |
| 1962939546 | Nicolette Gengel | Dentist | 1384 109th Ave Ne Ste 200, Blaine, MN 55434 | 2017-05-15 |
| Find all providers in zip 55434 | ||||
| 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 |
|---|---|---|---|---|
| 1962921924 | Mw Minnetonka Operating LLC | Assisted Living Facility | 1005 Paul Parkway Ne, Blaine, MN 55434 | 2017-09-11 |
| 1871989806 | Blaine Wp II, LLC | Assisted Living Facility | 12402 Jamestown Street Ne, Blaine, MN 55449 | 2015-04-07 |
| 1164757464 | Blaine Wp, LLC | Assisted Living Facility | 12446 Jamestown Street Ne, Blaine, MN 55559 | 2009-10-05 |
| 1023241825 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1005 Paul Pkwy Ne, Blaine, MN 55434-3926 | 2009-08-26 |
| 1396993036 | Christine Professional Health Care Inc | Assisted Living Facility | 9970 Madison St Ne, Blaine, MN 55434-4207 | 2008-09-07 |
| 1619529542 | Mff Blaine LLC | Assisted Living Facility | 1005 Paul Pkwy Ne, Blaine, MN 55434-3926 | 2019-07-11 |
| 1396167953 | Edgewood Blaine LLC | Assisted Living Facility | 12450 Cloud Dr Ne, Blaine, MN 55449-6226 | 2014-01-15 |
| 1073737284 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 456 C St, Blaine, WA 98230-4238 | 2007-04-12 |
| 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.