Organization Active NPI

The Terrace at Crystal LLC

  • Skilled Nursing Facility
  • Minneapolis, MN
National Provider Identifier
1649879941
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE TERRACE AT CRYSTAL LLC
Practice address
3245 Vera Cruz Ave N
Minneapolis, MN 55422-2708
Phone
(763) 971-6328
NPI assigned
Oct 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
George Katz
Title
President
Phone
(763) 971-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3245 Vera Cruz Ave N
Minneapolis, MN 55422-2708

Mailing address

3245 Vera Cruz Ave N
Minneapolis, MN 55422-2708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210129000415 MN Part A Provider - Skilled Nursing Facility 9830503010 Practice locations: Crystal, MN

Skilled nursing facility certification: CCN 245289

Legal name
THE TERRACE AT CRYSTAL LLC
Certification status
Active
Provider type (POS)
Nursing home โ€“ SNF/NF dual certification
Participating since
Nov 1, 1984
Last certification
Feb 13, 2025
Beds
85
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Sep 18, 2020 in MN
Enrollment address
3245 Vera Cruz Ave N
Crystal, MN 55422-2708
Nursing home name
THE TERRACE AT CRYSTAL LLC

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Terrace at Crystal LLCCCN 245289 ยท All quality measures
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8568.3 residents per day on average
Special focus status
SFF
Penalties (3 years)
10Fines totaling $80,370

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
George a Katz Individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Corporate OfficerPresident Jan 1, 2001 100%
Zenae M Merchant Individual W-2 Managing EmployeeAdministrator Jan 1, 2021 100%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1649879941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 VERA CRUZ AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554222708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 VERA CRUZ AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554222708",
            "telephone_number": "763-971-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TERRACE AT CRYSTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-971-6300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.