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Contact Information

CREST VIEW CORPORATION
4444 RESERVOIR BLVD NE
COLUMBIA HEIGHTS, MN55421
 Phone: 763-782-1611
 Fax: 763-782-0857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Assisted Living Facility

310400000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for CREST VIEW CORPORATION

NPI # 1336232057
LBN Legal business name CREST VIEW CORPORATION
Authorized official SHIRLEY BARNES - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 02/13/2017 - About 9 years ago
Identifiers
MN License # 329319
MN License # 330353
MN License # 331813
MN Medicaid 935840400
MN Medicaid 970516300
MN Other 8611CR BLUE CROSS/BLUE SHIELD
MN Other 5900019 MEDICA CHOICE-HOME CARE
MN Other 7122626 MEDICA CHOICE-NURSING HOM
MN Other 4990027 MEDICA CHOICE-ROYCE PLACE
MN Other 7100318 MEDICA PRIMARY - NURSING
MN Other 4990027 MEDICA PRIMARY-ROYCE PLAC
MN Other 5900019 MEDICAL PRIMARY-HOME CARE
MN Other 150220 U CARE - HOME CARE
MN Other NH0134 U CARE - NURSING HOME
MN Other AL0010 U CARE - ROYCE PLACE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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