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CRESCENT CARE LLC
NPI 1679401046
Assisted Living Facility in Plymouth, MN

Active since May 13, 2026
13415 54TH AVE N, PLYMOUTH, MN 55442(763) 998-6184 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crescent Care Llc NPPES

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

CRESCENT CARE LLC (NPI 1679401046) is a healthcare organization registered as an assisted living facility in Plymouth, Minnesota and active in the NPI registry since May 2026. The organization lists Cubaydulah Noridin Abdulkadir, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1679401046
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCRESCENT CARE LLC
Location Address13415 54TH AVE NPlymouth, MN 55442-1767
Mailing Address13415 54th Ave NPlymouth, MN 55442-1767 · (763) 998-6184
Phone(763) 998-6184
Organization SubpartNo
Authorized OfficialCubaydulah Noridin AbdulkadirExecutive Director · (612) 232-9237
Enumeration DateMay 13, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1679401046 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.
13415 54TH AVE N, Plymouth, MN 55442
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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 Crescent Care LLC's NPI number?

The NPI number for Crescent Care LLC is 1679401046. It was assigned to this organization in the NPPES registry on May 13, 2026.

Where is Crescent Care LLC located?

Crescent Care LLC is located at 13415 54th Ave N, Plymouth, MN 55442. The listed phone number is (763) 998-6184.

What is Crescent Care 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 Crescent Care LLC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.