CRESTVIEW ASSISTED LIVING LLC
NPI 1093685174
Assisted Living Facility in Minneapolis, MN

Active since November 05, 2025
4458 RESERVOIR BLVD, MINNEAPOLIS, MN 55421(763) 782-1611 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crestview Assisted Living Llc NPPES

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

CRESTVIEW ASSISTED LIVING LLC (NPI 1093685174) is a healthcare organization registered as an assisted living facility in Minneapolis, Minnesota and active in the NPI registry since November 2025. The organization lists Josh Legum, President, as its authorized official.

NPPES Registry Identity

NPI1093685174
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCRESTVIEW ASSISTED LIVING LLC
Location Address4458 RESERVOIR BLVDMinneapolis, MN 55421-3271
Mailing Address1345 Corporate Center CurvEagan, MN 55121-1295
Organization SubpartNo
Authorized OfficialJosh LegumPresident · (507) 203-1001
Enumeration DateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
NPI 1093685174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
4458 RESERVOIR BLVD, Minneapolis, MN 55421

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 Crestview Assisted Living LLC's NPI number?

The NPI number for Crestview Assisted Living LLC is 1093685174. It was assigned to this organization in the NPPES registry on November 5, 2025.

Where is Crestview Assisted Living LLC located?

Crestview Assisted Living LLC is located at 4458 Reservoir Blvd, Minneapolis, MN 55421. The listed phone number is (763) 782-1611.

What is Crestview Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Crestview Assisted Living LLC was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.