Crest View Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

374864 Issued in MN

Legal business name

CREST VIEW CORPORATION

Doing business as

Crest View Home Health Care

Practice address

1515 44TH Ave NE
Columbia Heights, MN 55421-3003

Phone

(763) 782-1611

NPI assigned

Sep 30, 2009

Last updated

Feb 13, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shirley Barnes

Title

Ceo

Phone

(763) 782-1611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crest View Home Health Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chris J Johnson, M.D.

  • Family Medicine Physician
  • Minnetrista, MN
  • NPI 1104800267
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1386978922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 RESERVOIR BLVD",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213255",
            "telephone_number": "763-782-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 44TH AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213003",
            "telephone_number": "763-782-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST VIEW CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-782-1611"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "374864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "970516300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crest View Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Crest View Corporation (CV Lutheran Home, Blvd Apts, Royce Place, CV Home Care)
• Crest View Corporation (Crest View Home Care)
• Crest View Corporation (Royce Place)
• Shawntelle Lynne Cruz
• Christy Lynn Curson
• Asli Darman

• Home Health Agency in Columbia Heights, MN
• Providers in Columbia Heights, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.