National Provider Identifier Database

CRESCENT COVE
Hospice Care, Community Based


Contact Information

CRESCENT COVE
4201 58TH AVD N.
BROOKLYN CENTER, MN55429
Phone: 952-426-4711
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X
Pediatrics 208000000X
Respite Care, Physical Disabilities, Child 385HR2065X

* Indicates primary specialty

NPI Profile & details for CRESCENT COVE

NPI Number 1780156208
Legal business name
LBN
CRESCENT COVE
Authorized official KATHRYN LINDENFELSER - (EXEC. DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/21/2018
Last updated 01/09/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Other: A101662400 UMPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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