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Organization

CREST VIEW CORPORATION

Active
Other names
CV Lutheran Home, Blvd Apts, Royce Place, CV Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRLEY BARNES (CEO)
(763) 782-1611
Entity
Organization

Contact information

Practice address
4444 RESERVOIR BLVD NE, COLUMBIA HEIGHTS, MN 55421
(763) 782-1611
(763) 782-0857
Mailing address
4444 RESERVOIR BLVD NE, COLUMBIA HEIGHTS, MN 55421
(763) 782-1611
(763) 782-0857

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
330353
MN
310400000X
Assisted Living Facility
329319
MN
314000000X
Skilled Nursing Facility
Primary
331813
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150220
U CARE - HOME CARE
MN
01
4990027
MEDICA CHOICE-ROYCE PLACE
MN
01
5900019
MEDICAL PRIMARY-HOME CARE
MN
01
7100318
MEDICA PRIMARY - NURSING
MN
01
7122626
MEDICA CHOICE-NURSING HOM
MN
01
8611CR
BLUE CROSS/BLUE SHIELD
MN
05
935840400
MN
05
970516300
MN
01
AL0010
U CARE - ROYCE PLACE
MN
01
NH0134
U CARE - NURSING HOME
MN
Enumeration date
10/02/2006
Last updated
02/13/2017
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