OrganizationActive
Crest Ridge Residences LLC
NPI 1922583178 · Assisted Living Facility · Minnetonka, MN
Provider details
- NPI number
- 1922583178
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Andrea Nye, Regional Director Assisted Living(612) 599-6788
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10955 Wayzata Blvd
Minnetonka, MN 55305-1535
Phone: (612) 874-3432
Approximate (ZIP-level) locationGet directions
Mailing address
2722 Park Avenue South - Attention Jill Nokleby Kaiser
Minneapolis, MN 55407
Other names (DBA / former)
- Doing business as
- Orchards of Minnetonka
Registry dates
- Enumerated
- 2018-10-03
- Last updated
- 2018-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.