Provider Demographics
NPI:1437862216
Name:SILVERCREST PROPERTIES, LLC
Entity Type:Organization
Organization Name:SILVERCREST PROPERTIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP 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:952-922-9540
Mailing Address - Fax:
Practice Address - Street 1:8501 FLYING CLOUD DRIVE
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-0001
Practice Address - Country:US
Practice Address - Phone:952-995-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SILVERCREST PROPERTIES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility