CRYSTAL LARSON NPI 1861252082

NPI Information

  • NPI: 1861252082
  • Provider Name: CRYSTAL LARSON
  • Classification: Home Health - 251E00000X
  • Entity Type: Individual
  • Address: 11204 86TH AVE N
    MAPLE GROVE, MN
    ZIP 55369
  • Phone: (612) 470-0105

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NPI Details

Crystal Larson is a home health in Maple Grove, 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. Crystal Larson NPI is 1861252082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11204 86TH AVE N
MAPLE GROVE, MN
ZIP 55369-510
Phone: (612) 470-0105
Fax: (612) 299-1425

The enumeration date for this NPI number is 3/22/2024 and was last updated on 3/22/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1374U00000XHome Health Aide414944MINNESOTANo
2376J00000XHomemaker414944MINNESOTANo
3376K00000XNurse's Aide414944MINNESOTANo
4385H00000XRespite Care414944No
5251E00000XHome Health414944MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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