Organization · NPI-2

Crestview Home Health LLC

Clinic/Center · Plymouth, MN

NPI number1710853189
StatusActive
Last updated in NPPESOct 14, 2025

Details

NPI
1710853189
Entity type
Organization (NPI-2)
Legal business name
Crestview Home Health LLC
Organization subpart
No
Enumeration date
Oct 14, 2025
Certification date
Oct 14, 2025
Last updated
Oct 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

6150 Quinwood Ln N Apt 5215
Plymouth, MN 55442-1304

Phone 612-203-1992

Mailing address

6150 Quinwood Ln N Apt 5215
Plymouth, MN 55442-1304

Authorized official

Adnaan Asayr Hassan
Owner
6122031992

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Plymouth, MN