Provider Demographics
NPI:1073229100
Name:SILVERCREST PROPERTIES, LLC
Entity Type:Organization
Organization Name:SILVERCREST PROPERTIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-915-6411
Mailing Address - Street 1:5402 PARKDALE DR STE 301
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1604
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2700 RICE CREEK RD
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-5300
Practice Address - Country:US
Practice Address - Phone:651-633-6484
Practice Address - Fax:651-633-8702
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SILVERCREST PROPERTIES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility