CRESTVIEW HEALTHCARE NPI 1013879519

NPI Details

CRESTVIEW HEALTHCARE is a home health in Little Canada, MN. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. CRESTVIEW HEALTHCARE NPI is 1013879519. The provider is registered as an organization entity type.

The provider's business location address is:

3000 CENTERVILLE RD
LITTLE CANADA, MN
ZIP 55117-105
Phone: (763) 286-6964

The provider's authorized official is Peter Vang .
The authorized official title is Ceo and has the following contact phone number (763) 286-6964.

The enumeration date for this NPI number is 12/2/2025 and was last updated on 12/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: