NPIMap

Organization Active NPI

Crest View Corporation

Doing business as Royce Place

  • Assisted Living Facility
  • Columbia Heights, MN
National Provider Identifier
1568796100
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
344643 Issued in MN
Legal business name
CREST VIEW CORPORATION
Doing business as
Royce Place
Practice address
4444 Reservoir Blvd
Columbia Heights, MN 55421-3255
Phone
(763) 782-1611
NPI assigned
Sep 30, 2009
Last updated
Sep 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 344643 MN Primary

Addresses

Primary practice location

4444 Reservoir Blvd
Columbia Heights, MN 55421-3255

Mailing address

1515 44TH Ave NE
Columbia Heights, MN 55421-3003
Phone (763) 782-1611

Other names 1

  • Royce Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crest View Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1568796100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 44TH AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213003",
            "telephone_number": "763-782-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 RESERVOIR BLVD",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213255",
            "telephone_number": "763-782-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST VIEW CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "344643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royce Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.