Active NPI
Crestview Assisted Living LLC
- Assisted Living Facility
- Minneapolis, MN
National Provider Identifier
1093685174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CRESTVIEW ASSISTED LIVING LLC
- Practice address
- 4458 Reservoir Blvd
Minneapolis, MN 55421-3271 - Phone
- (763) 782-1611
- NPI assigned
- Nov 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Josh Legum
- Title
- President
- Phone
- (507) 203-1001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
4458 Reservoir Blvd
Minneapolis, MN 55421-3271
Mailing address
1345 Corporate Center Curv
Eagan, MN 55121-1295
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1093685174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 CORPORATE CENTER CURV",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4458 RESERVOIR BLVD",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554213271",
"telephone_number": "763-782-1611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESTVIEW ASSISTED LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-05",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "LEGUM",
"authorized_official_first_name": "JOSH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "507-203-1001"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.