CREST RIDGE RESIDENCES LLC (NPI# 1922583178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922583178 |
| Entity Type | Organization |
| Organization Name | CREST RIDGE RESIDENCES LLC |
| Practice Address |
10955 Wayzata Blvd Minnetonka MN 55305-1535 |
| Mailing Address |
2722 Park Avenue South - Attention Jill Nokleby Kaiser Minneapolis MN 55407 |
| Practice Telephone | 6128743432 |
| Mailing Telephone | 6128743431 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Authorized Official Name | ANDREA NYE (REGIONAL DIRECTOR ASSISTED LIVING) |
| Authorized Official Telephone | 6125996788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Orchards of Minnetonka | Doing Business As Name - Organization |
| Street Address |
10955 WAYZATA BLVD |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134773047 | Stonecrest Living Inc | Assisted Living Facility | 4108 Merriam Rd, Minnetonka, MN 55305-5049 | 2019-07-29 |
| 1235691874 | Guardian Homes Inc. | Assisted Living Facility | 11301 Minnetonka Blvd, Minnetonka, MN 55305-4367 | 2019-04-02 |
| 1902361280 | Mercy Care Home | Assisted Living Facility | 5005 Woodland Rd, Minnetonka, MN 55345-4520 | 2019-01-31 |
| 1699273474 | Cherrywood Pointe of Minnetonka LLC | Assisted Living Facility | 2004 Plymouth Rd, Minnetonka, MN 55305-2336 | 2018-01-26 |
| 1649694472 | Phs Beacon Hill, Inc | Assisted Living Facility | 5300 Beacon Hill Rd, Minnetonka, MN 55345-5859 | 2014-02-14 |
| 1659717692 | Legacy Care Home | Assisted Living Facility | 14900 Crown Dr, Minnetonka, MN 55345-3603 | 2013-05-17 |
| 1700156163 | Minnetonka Care Residence | Assisted Living Facility | 4328 Williston Rd, Minnetonka, MN 55345-2947 | 2012-01-03 |
| 1578892410 | Augustana Emerald Care LLC | Assisted Living Facility | 13401 Lake Street Ext, Minnetonka, MN 55305-4905 | 2009-12-23 |
| 1417126202 | Sunrise Senior Living Management, Inc. | Assisted Living Facility | 18605 Old Excelsior Blvd, Minnetonka, MN 55345-3120 | 2008-02-26 |
| 1710009253 | Volunteers of America Assisted Living Communities | Assisted Living Facility | 11400 4th St N, Minnetonka, MN 55343-3603 | 2007-04-04 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on CREST RIDGE RESIDENCES LLC.
| 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.