PARKVIEW MANOR INC - NPI 1982214607 - Assisted Living Facility in Crystal, MN

Q: What is Parkview Manor Inc's NPI number?

The NPI number for Parkview Manor Inc is 1982214607. It was assigned to this organization in the NPPES registry on August 6, 2020.

Q: What is Parkview Manor Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

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About Parkview Manor Inc NPPES

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

PARKVIEW MANOR INC (NPI 1982214607) is a healthcare organization registered as an assisted living, mental illness in Crystal, Minnesota and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through May 14, 2028, maintains a secondary practice location in Minneapolis, and lists Helen A Osonowo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1982214607

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NamePARKVIEW MANOR INC

Location Address5802 BASS LAKE RDCrystal, MN 55429-2749

Mailing Address10643 Welcome Bay NBrooklyn Park, MN 55443-3268 · (612) 702-7412 · Fax (612) 314-8840

Phone(612) 702-7412

Fax(612) 314-8840

Organization SubpartNo

Authorized OfficialHelen A OsonowoAdministrator · (612) 702-7412

Enumeration DateAugust 6, 2020

NPPES CertifiedAugust 6, 2020

✔ NPI 1982214607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

5802 BASS LAKE RD, Crystal, MN 55429

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Secondary Practice Location 1

Location 12200 Park AveMinneapolis, MN 55404-3710 · Phone (612) 702-7412 · Fax (612) 314-8840

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 24D2184147

Parkview Manor Inc · Minneapolis, MN

Active · expires May 14, 2028

CLIA Number24D2184147

Laboratory TypeAssisted Living Facility

Certificate Effective DateMay 15, 2026

Certificate Expiration DateMay 14, 2028

Laboratory DirectorHelen Osonowo

Laboratory Phone(612) 702-7412

Laboratory LocationParkview Manor Inc2200 Park Avenue S, Minneapolis, MN 55404

CLIA data matches this NPI record on: Address Name Phone

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 Parkview Manor Inc's NPI number?

The NPI number for Parkview Manor Inc is 1982214607. It was assigned to this organization in the NPPES registry on August 6, 2020.

Where is Parkview Manor Inc located?

Parkview Manor Inc is located at 5802 Bass Lake Rd, Crystal, MN 55429. The listed phone number is (612) 702-7412.

What is Parkview Manor Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Parkview Manor Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2184147) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Parkview Manor Inc was last updated on August 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.