1. Home
  2. Directory
  3. Minnesota
  4. Blaine
  5. Assisted Living Facility
  6. NPI Profile

CREST VIEW SENIOR COMMUNITY AT BLAINE
NPI 1205386091
Assisted Living Facility in Blaine, MN

Active since October 05, 2016CLIA 24D2230392 · Waiver
12016 ULYSSES ST NE, BLAINE, MN 55434(763) 782-1611 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crest View Senior Community At Blaine NPPES

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

CREST VIEW SENIOR COMMUNITY AT BLAINE (NPI 1205386091) is a healthcare organization registered as an assisted living facility in Blaine, Minnesota and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Shirley Barnes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205386091
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCREST VIEW CORPORATION
Location Address12016 ULYSSES ST NEBlaine, MN 55434
Mailing Address4444 Reservoir BlvdColumbia Heights, MN 55421-3255
Phone(763) 782-1611
Organization SubpartNo
Authorized OfficialShirley BarnesCeo · (763) 782-1611
Enumeration DateOctober 5, 2016
✔ NPI 1205386091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · IN PROGRESS
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.
12016 ULYSSES ST NE, Blaine, MN 55434
Open in Google Maps ↗

Other Names 1

Doing Business AsCrest View Senior Community At Blaine

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 24D2230392

Crest View Senior Community At Blaine · Blaine, MN
Active · expires Jul 22, 2027
CLIA Number24D2230392
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorChris Johnson
Laboratory Phone(763) 762-8420
Laboratory LocationCrest View Senior Community At Blaine12016 Ulysses St NE (north Building), Blaine, MN 55434
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Crest View Corporation's NPI number?

The NPI number for Crest View Corporation is 1205386091. It was assigned to this organization in the NPPES registry on October 5, 2016. The provider is doing business as Crest View Senior Community At Blaine.

Where is Crest View Corporation located?

Crest View Corporation is located at 12016 Ulysses St NE, Blaine, MN 55434. The listed phone number is (763) 782-1611.

What is Crest View Corporation's specialty?

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

Does Crest View Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2230392) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crest View Corporation was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.