Active NPI
The Terrace at Crystal LLC
- Skilled Nursing Facility
- Minneapolis, MN
National Provider Identifier
1649879941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 1, 1984
- Medicare certification status
- Active
- Certified beds
- 85
- Special focus status
- SFF
- Penalties (3 years)
- 10
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| George a Katz | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 100% |
| Corporate Officer | Jan 1, 2001 | 100% | |
| Zenae M Merchant | W-2 Managing Employee | 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.
-
- Internal Medicine Physician
- St Louis Park, MN
- NPI 1114169356
-
- Geriatric Medicine (Family Medicine) Physician
- Golden Valley, MN
- NPI 1023021409
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.