Organization Active NPI

Parkview Manor Inc

  • Assisted Living Facility (Mental Illness)
  • Crystal, MN
National Provider Identifier
1982214607
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
PARKVIEW MANOR INC
Practice address
5802 Bass Lake Rd
Crystal, MN 55429-2749
Phone
(612) 702-7412
Fax
(612) 314-8840
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Helen A Osonowo, NP
Title
Administrator
Phone
(612) 702-7412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

5802 Bass Lake Rd
Crystal, MN 55429-2749

Mailing address

10643 Welcome Bay N
Brooklyn Park, MN 55443-3268
Phone (612) 702-7412

Other practice location 1

2200 Park Ave
Minneapolis, MN 55404-3710
Phone (612) 702-7412

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
24D2184147Parkview Manor Inc2200 Park Avenue S, Minneapolis, MN 55404Certificate of waiverMay 14, 2028

National Provider Directory

National Provider Directory

Locations

2200 Park Ave
Minneapolis, MN 55404
Phone (612) 702-7412

Practitioners & affiliated clinicians

Practitioners 1

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": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1982214607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10643 WELCOME BAY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433268",
            "telephone_number": "612-702-7412",
            "fax_number": "612-314-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 BASS LAKE RD",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292749",
            "telephone_number": "612-702-7412",
            "fax_number": "612-314-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554043710",
            "country_code": "US",
            "telephone_number": "612-702-7412",
            "fax_number": "612-314-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARKVIEW MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "OSONOWO",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-702-7412",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.