CRESCENT COVE (NPI# 1780156208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780156208 |
| Entity Type | Organization |
| Organization Name | CRESCENT COVE |
| Practice Address |
4201 58th Avd N. Brooklyn Center MN 55429 |
| Mailing Address |
3440 Beltline Blvd. Ste 207 St. Louis Park MN 55416 |
| Practice Telephone | 9524264711 |
| Mailing Telephone | 9524264711 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | KATHRYN J. LINDENFELSER (EXEC. DIRECTOR) |
| Authorized Official Telephone | 9524264711 |
| Authorized Official Credential | MT-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
Respite Care Facility | ||
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UMPI | A101662400 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CRESCENT COVE ASSOCIATES, LLC | 308 West Main St, Suite 102, Smithtown, Ny 11787 |
| New York State Corporations | CRESCENT COVE ESTATES, INC. | 1928 Route 302, Circleville, Ny 10919 |
| Virginia Business Entities | Crescent Cove LLC | 2045 Potts Point Rd, Huntingtown, Maryland 20639 |
| Virginia Business Entities | Crescent Cove Oyster Company Inc. | 390 Crescent Cove Lane, Lancaster, Virginia 22503 |
| Street Address |
4201 58TH AVD N. |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852979 | Comfort Home Care | Home Health | 5950 Beard Ave N, Brooklyn Center, MN 55429 | 2020-05-15 |
| 1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
| 1184106254 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 W. Broadway Ave, Crystal, MN 55429 | 2018-09-05 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1023510526 | Family Trust Home Health, LLC | Home Health | 5901 Brooklyn Blvd Ste 201, Brooklyn Center, MN 55429 | 2018-03-01 |
| 1962910588 | Yer Yang | Massage Therapist | 5531 Orchard Ave N, Crystal, MN 55429 | 2018-01-17 |
| 1790203347 | Akeya Bolden | Counselor | 3212 64th Ave N, Brooklyn Center, MN 55429 | 2017-09-05 |
| 1386169316 | Sadia Pauletta Kruah | Transportation Broker | 6756 Grimes Pl North, Brooklyn Center, MN 55429 | 2017-08-10 |
| 1982134904 | Chad Geyen | Marriage & Family Therapist | 3300 County Rd. 10, Brooklyn Center, MN 55429 | 2017-06-13 |
| 1063958353 | Golden Touch Health Care, LLC | Home Health | 3300 Cty Rd 10, Suite 314, Brooklyn Center, MN 55429 | 2017-01-11 |
| Find all providers in zip 55429 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350379 | Minnesota Care Services LLC | Hospice Care, Community Based | 2447 County Road B W Apt 1, Roseville, MN 55113-3867 | 2020-06-14 |
| 1922628700 | Brian Phillip St John | Hospice Care, Community Based | 100 Rev Dr Matin Luther Kingjr Blvd Suite 180, Saint Paul, MN 55155-0001 | 2020-04-21 |
| 1114576279 | Moments Hospice of Duluth LLC | Hospice Care, Community Based | 4897 Miller Trunk Hwy Ste 220, Hermantown, MN 55811-1936 | 2019-09-10 |
| 1770142762 | St Croix Hospice LLC | Hospice Care, Community Based | 1001 S Pokegama Ave Ste D, Grand Rapids, MN 55744-3919 | 2019-06-12 |
| 1619536620 | St Croix Hospice LLC | Hospice Care, Community Based | 17645 Juniper Path Ste 155, Lakeville, MN 55044-7577 | 2019-06-12 |
| 1073177986 | Hospice of Minnesota, LLC | Hospice Care, Community Based | 404 W Superior St Ste 290, Duluth, MN 55802-1504 | 2019-04-25 |
| 1336702000 | Elite Quality Services, LLC | Hospice Care, Community Based | 3555 Main St Ne, Minneapolis, MN 55418-1144 | 2019-04-18 |
| 1376008441 | Moments Hospice of Rochester LLC | Hospice Care, Community Based | 1816 2nd St Sw Ste B, Rochester, MN 55902-0819 | 2019-02-04 |
| 1366907446 | Moments Hospice of St Cloud LLC | Hospice Care, Community Based | 1030 4th St Se Ste 108, Saint Cloud, MN 56304-1217 | 2019-02-04 |
| 1174005953 | Carris Health - Redwood LLC | Hospice Care, Community Based | 1110 E Bridge St, Redwood Falls, MN 56283-1808 | 2018-08-29 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55429 |
Please comment or provide details below to improve the information on CRESCENT COVE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.