CENTENNIAL GARDENS FOR NURSING AND REHABILITATION
NPI 1013374008
Skilled Nursing Facility in Crystal, MN

Active since January 21, 2016CLIA 24D0665556 · Waiver
3245 VERA CRUZ AVE N, CRYSTAL, MN 55422(763) 971-6300(763) 971-6328 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centennial Gardens For Nursing And Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTENNIAL GARDENS FOR NURSING AND REHABILITATION (NPI 1013374008) is a healthcare organization registered as a skilled nursing facility in Crystal, Minnesota and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Ephram Mordy Lahasky, President/manager, as its authorized official.

NPPES Registry Identity

NPI1013374008
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCRYSTAL NURSING REHABILITATION, LLC
Location Address3245 VERA CRUZ AVE NCrystal, MN 55422-2708
Mailing Address3245 Vera Cruz Ave NCrystal, MN 55422-2708 · (763) 971-6300 · Fax (763) 971-6328
Fax(763) 971-6328
Organization SubpartNo
Authorized OfficialEphram Mordy LahaskyPresident/manager · (646) 772-3668
Enumeration DateJanuary 21, 2016
NPI 1013374008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3245 VERA CRUZ AVE N, Crystal, MN 55422

Other Names 1

Doing Business AsCentennial Gardens For Nursing And Rehabilitation

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0665556

Centennial Gardens For Nursing And Rehabilitation · Crystal, MN
Active · expires Aug 31, 2026
CLIA Number24D0665556
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorStephen Johnson
Laboratory Phone(763) 971-6300
Laboratory LocationCentennial Gardens For Nursing And Rehabilitation3245 Vera Cruz Ave N, Crystal, MN 55422
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
3245 VERA CRUZ AVE N
CRYSTAL, MN 55422
Skilled Nursing Facility
3245 VERA CRUZ AVE N
MINNEAPOLIS, MN 55422
Skilled Nursing Facility
3245 VERA CRUZ AVE N
MINNEAPOLIS, MN 55422
Skilled Nursing Facility
3245 VERA CRUZ AVE N
MINNEAPOLIS, MN 55422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Nursing Rehabilitation, LLC's NPI number?

The NPI number for Crystal Nursing Rehabilitation, LLC is 1013374008. It was assigned to this organization in the NPPES registry on January 21, 2016. The provider is doing business as Centennial Gardens For Nursing And Rehabilitation.

Where is Crystal Nursing Rehabilitation, LLC located?

Crystal Nursing Rehabilitation, LLC is located at 3245 Vera Cruz Ave N, Crystal, MN 55422. The listed phone number is (763) 971-6300.

What is Crystal Nursing Rehabilitation, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Crystal Nursing Rehabilitation, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0665556) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crystal Nursing Rehabilitation, LLC was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.