Crestwood Care Centre Lp in Crestwood - Skilled Nursing Facility
Crestwood Care Centre Lp - NPI 1013993237
Crestwood Care Centre Lp is a Skilled Nursing Facility in Crestwood, Illinois. Crestwood Care Centre Lp practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Crestwood Care Centre Lp is 1013993237. The last update date is 2020-08-22.
Crestwood Care Centre Lp's current location address is 14255 Cicero Ave, Crestwood, Illinois. You can contact this provider via phone number 7083710400 and fax number 7083715871. The mailing address for Crestwood Care Centre Lp is 14255 Cicero Ave, Crestwood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crestwood Care Centre Lp |
|---|---|
| Address | 14255 Cicero Ave, Crestwood, Illinois |
| Phone Number | 7083710400 |
| Fax Number | 7083715871 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTROLLER |
|---|---|
| Authorized Official Name | Braun Charles Michael |
| Telephone Number | 8475830100 |
NPI Number Detail
| NPI Number | 1013993237 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 14255 Cicero Ave |
|---|---|
| City | Crestwood |
| State | Illinois (IL) |
| Post Code | 604452154 |
| Phone Number | 7083710400 |
| Fax Number | 7083715871 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 44164 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6002265 | IL | IDPH FACILITY NUMBER | |
| 44164 | IL | IDPH LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Crestwood Care Centre Lp by the Centers for Medicare & Medicaid Services?
The Crestwood Care Centre Lp has been issued the NPI (National Provider Identifier) 1013993237. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Crestwood Care Centre Lp is located?
The Crestwood Care Centre Lp is situated at the following address: 14255 Cicero Ave, Crestwood, IL, 604452154.
What is Crestwood Care Centre Lp's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Crestwood Care Centre Lp is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
When was the Crestwood Care Centre Lp's 1013993237 issued?
The Crestwood Care Centre Lp's 1013993237 was issued on 2005-12-20.
As of what date were the details related to Crestwood Care Centre Lp most recently updated or revised?
The information pertaining to Crestwood Care Centre Lp, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.