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CRYSTAL EDGE 2 LLC
NPI 1841016458
Assisted Living Facility in Saint Paul, MN

Active since November 27, 2024
1979 WILSON AVE, SAINT PAUL, MN 55119(612) 459-2724 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Crystal Edge 2 Llc NPPES

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

CRYSTAL EDGE 2 LLC (NPI 1841016458) is a healthcare organization registered as an assisted living facility in Saint Paul, Minnesota and active in the NPI registry since November 2024. The organization lists Haja Uche, Owner, as its authorized official.

NPPES Registry Identity

NPI1841016458
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCRYSTAL EDGE 2 LLC
Location Address1979 WILSON AVESaint Paul, MN 55119-4046
Mailing Address10616 Kyle Ave NBrooklyn Park, MN 55443-1250 · (612) 459-2724 · Fax (763) 208-0912
Phone(612) 459-2724
Organization SubpartNo
Authorized OfficialHaja UcheOwner · (612) 459-2724
Enumeration DateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
✔ NPI 1841016458 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.
1979 WILSON AVE, Saint Paul, MN 55119
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Other Providers at the Same Location NPPES

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

CRYSTAL EDGE MOBILITY SERVICES LLC
Non-emergency Medical Transport (VAN)
1979 WILSON AVE
SAINT PAUL, MN 55119
Ramsey County (651) 347-2481

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 Edge 2 LLC's NPI number?

The NPI number for Crystal Edge 2 LLC is 1841016458. It was assigned to this organization in the NPPES registry on November 27, 2024.

Where is Crystal Edge 2 LLC located?

Crystal Edge 2 LLC is located at 1979 Wilson Ave, Saint Paul, MN 55119. The listed phone number is (612) 459-2724.

What is Crystal Edge 2 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 Crystal Edge 2 LLC was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.