Active NPI
Parkview Manor Inc
- Assisted Living Facility (Mental Illness)
- Crystal, MN
National Provider Identifier
1982214607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2184147 | Parkview Manor Inc | Certificate of waiver | May 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Crystal, MN
- NPI 1407491178
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.