Credent Care Properties LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CREDENT CARE PROPERTIES LLC

Practice address

2719 W Division St Ste 9
Saint Cloud, MN 56301-3400

Phone

(320) 291-5152

NPI assigned

Sep 17, 2024

Last updated

Sep 17, 2024By 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

Shirwa Adan

Title

Owner

Phone

(320) 291-5152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1851128482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 W DIVISION ST STE 9",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013400",
            "telephone_number": "320-291-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 W DIVISION ST STE 9",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013400",
            "telephone_number": "320-291-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDENT CARE PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "ADAN",
        "authorized_official_first_name": "SHIRWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-291-5152"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Crain
• Jennifer Crayford
• Creative Vision Therapy
• Credent Care LLC
• Credent Care LLC
• Jennifer Crescencio Heinlen
• Ingrid Cresencio, CNP
• Karen Ann Crespo, MSW,LICSW
• Benjamin Cripps
• Criterion Counseling PLLC (Criterion Counseling)

• Clinic/Center in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.