NPIMap

Organization Active NPI

Silvercrest Properties, LLC

  • Assisted Living Facility
  • Lakeville, MN
National Provider Identifier
1467169441
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SILVERCREST PROPERTIES, LLC
Practice address
16880 Klamath TRL
Lakeville, MN 55044-7939
Phone
(952) 435-8002
NPI assigned
Oct 31, 2022
Organization subpart
Yes
Parent organization
SILVERCREST PROPERTIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Denise Barnett
Title
VP of Operations
Phone
(952) 915-6411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

16880 Klamath TRL
Lakeville, MN 55044-7939

Mailing address

5402 Parkdale Dr Ste 301
St Louis Park, MN 55416-1604
Phone (952) 922-9540

Other names 1

  • Kingsley Shores Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2058433Kingsley Shores Assisted Living16880 Klamath Trail, Lakeville, MN 55044Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Silvercrest Properties LLC5 organizations share this tax ID, including this one
Part of
Silvercrest Properties LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1467169441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 PARKDALE DR STE 301",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161604",
            "telephone_number": "952-922-9540",
            "fax_number": "952-922-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16880 KLAMATH TRL",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447939",
            "telephone_number": "952-435-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERCREST PROPERTIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SILVERCREST PROPERTIES, LLC",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "952-915-6411"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsley Shores",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.