CRESTVIEW MANOR
NPI 1487640132
Skilled Nursing Facility in Evansville, MN

Active since September 27, 2005
649 STATE ST NW, EVANSVILLE, MN 56326(218) 948-2219(218) 948-2004 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crestview Manor NPPES

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

CRESTVIEW MANOR (NPI 1487640132) is a healthcare organization registered as a skilled nursing facility in Evansville, Minnesota and active in the NPI registry since September 2005. The organization lists Coral Blaze, Ceo/cfo, as its authorized official.

NPPES Registry Identity

NPI1487640132
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFOUNDATION FOR RURAL HEALTH CARE
Location Address649 STATE ST NWEvansville, MN 56326-8124
Mailing Address905 W 155th StBurnsville, MN 55306-5405 · (952) 435-7371 · Fax (952) 892-1695
Fax(218) 948-2004
Organization SubpartNo
Authorized OfficialCoral BlazeCeo/cfo · (952) 435-7371
Enumeration DateSeptember 27, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1487640132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MN · 00110
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.

649 STATE ST NW, Evansville, MN 56326

Other Names 1

Doing Business AsCrestview Manor

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
649 STATE ST NW
EVANSVILLE, MN 56326
Assisted Living Facility
649 STATE ST NW
EVANSVILLE, MN 56326

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 Foundation For Rural Health Care's NPI number?

The NPI number for Foundation For Rural Health Care is 1487640132. It was assigned to this organization in the NPPES registry on September 27, 2005. The provider is doing business as Crestview Manor.

Where is Foundation For Rural Health Care located?

Foundation For Rural Health Care is located at 649 State St NW, Evansville, MN 56326. The listed phone number is (218) 948-2219.

What is Foundation For Rural Health Care's specialty?

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

When was this NPI record last updated?

The NPPES record for Foundation For Rural Health Care was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.