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CRYSTAL LARSON
NPI 1861252082
Home Health in Maple Grove, MN

Active since March 22, 2024
11204 86TH AVE N, MAPLE GROVE, MN 55369(612) 470-0105(612) 299-1425 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Larson NPPES

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

CRYSTAL LARSON (NPI 1861252082) is an individual home health provider in Maple Grove, Minnesota, licensed in Minnesota (414944) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1861252082
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameCRYSTAL LARSON
Location Address11204 86TH AVE NMaple Grove, MN 55369-4510
Mailing Address14111 93rd Pl NMaple Grove, MN 55369-8912 · (612) 670-2058 · Fax (612) 299-1425
Phone(612) 470-0105
Fax(612) 299-1425
Sole ProprietorYes
Enumeration DateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1861252082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MN · 414944
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedHome Health AideTaxonomy 374U00000X · License 414944 (MN)
Also ListedHomemakerTaxonomy 376J00000X · License 414944 (MN)
Also ListedNurse's AideTaxonomy 376K00000X · License 414944 (MN)
Also ListedRespite CareTaxonomy 385H00000X · License 414944
11204 86TH AVE N, Maple Grove, MN 55369
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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 Crystal Larson's NPI number?

The NPI number for Crystal Larson is 1861252082. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Crystal Larson located?

Crystal Larson practices at 11204 86th Ave N, Maple Grove, MN 55369. The listed phone number is (612) 470-0105.

What is Crystal Larson's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Crystal Larson was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.