Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Edge 2 LLC

Organization Assisted Living Facility · NPI 1841016458

Crystal Edge 2 LLC is an Assisted Living Facility in Saint Paul, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1979 Wilson Ave
Saint Paul, MN 55119-4046
Phone: (612) 459-2724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1841016458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Haja Uche — Owner · (612) 459-2724
NPI enumeratedNovember 27, 2024
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024
Mailing address10616 Kyle Ave N, Brooklyn Park, MN 55443-1250

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