Provider Demographics
NPI:1023753167
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:DIANE JUDAY
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-922-9540
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 1:6501 WOODLAKE DR
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-1392
Practice Address - Country:US
Practice Address - Phone:612-861-1186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility