NPIMap

Organization Active NPI

North Crest - North Haven, Inc.

  • Assisted Living Facility
  • Stevens Point, WI
National Provider Identifier
1992900229
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NORTH CREST - NORTH HAVEN, INC.
Practice address
2225 Eagle SMT
Stevens Point, WI 54481-8977
Phone
(715) 343-1288
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Krista Mendyke
Title
Owner
Phone
(715) 343-1288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2225 Eagle SMT
Stevens Point, WI 54481-8977

Mailing address

2225 Eagle SMT
Stevens Point, WI 54481-8977

National Provider Directory

National Provider Directory
Tax ID family
North Ridge - North Haven Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992900229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 EAGLE SMT",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544818977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 EAGLE SMT",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544818977",
            "telephone_number": "715-343-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CREST - NORTH HAVEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDYKE",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-343-1288"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.