Crestview Residences LLC
Crestview Residences LLC is a healthcare organization registered as Skilled Nursing Facility in Minneapolis, MN, holding Type 2 (organization) NPI 1477423556 since 2025. The authorized official on file is Josh Legum, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477423556 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Crestview Residences LLC |
| Practice address | 4444 RESERVOIR BLVD, Minneapolis, MN, 55421 |
| Phone | 7637821611 |
| Enumeration date | 2025-11-05 |
| Last updated in NPPES | 2025-11-05 |
Authorized official
| Name | Josh Legum |
|---|---|
| Title | President |
| Phone | 5072031000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | — | — |
Copy-ready billing details
Provider: Crestview Residences LLC NPI: 1477423556 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 4444 RESERVOIR BLVD, Minneapolis, MN, 55421
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063601359 | Debra Simon | Individual | Physical Therapist | Columbia Heights, MN |
| 1942489885 | Dennis Bauer | Individual | Physical Therapy Assistant | Columbia Heights, MN |
| 1568796100 | Crest View Corporation | Organization | Assisted Living Facility | Columbia Heights, MN |
| 1699011346 | Nancy Bethel | Individual | Speech-Language Pathologist | Columbia Heights, MN |
Verify this record
Cross-check NPI 1477423556 against the authoritative CMS record: view Crestview Residences LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Crestview Residences LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-11-05.