Crestridge, Inc in Maquoketa - Skilled Nursing Facility
Crestridge, Inc - NPI 1225021942
Crestridge, Inc is a Skilled Nursing Facility in Maquoketa, Iowa. Crestridge, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Crestridge, Inc is 1225021942. The last update date is 2014-12-15.
Crestridge, Inc's current location address is 1015 Wesley Dr, Maquoketa, Iowa. You can contact this provider via phone number 5636524968 and fax number 5636524969. The mailing address for Crestridge, Inc is 1015 Wesley Dr, Maquoketa, Iowa. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Crestridge, Inc |
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Address | 1015 Wesley Dr, Maquoketa, Iowa |
Phone Number | 5636524968 |
Fax Number | 5636524969 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Voyna William Jerry |
Credentials | CPA |
Telephone Number | 5152763656 |
NPI Number Detail
NPI Number | 1225021942 |
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Provider Enumeration Date | 2005-08-28 |
Last Updated Date | 2014-12-15 |
Provider Mailing Address Detail
Address | 1015 Wesley Dr |
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City | Maquoketa |
State | Iowa (IA) |
Post Code | 520602637 |
Phone Number | 5636524968 |
Fax Number | 5636524969 |
Provider's Primary Taxonomy Detail
Speciality | Skilled Nursing Facility |
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Taxonomy | 314000000X |
Licence No | 806406 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
806406 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Crestridge, Inc by the Centers for Medicare & Medicaid Services?
The Crestridge, Inc has been issued the NPI (National Provider Identifier) 1225021942 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Crestridge, Inc is geographically located?
The Crestridge, Inc is physically situated at the following location: 1015 Wesley Dr, Maquoketa, IA, 520602637.
What is Crestridge, Inc's area of expertise and its corresponding taxonomy classification?
The Crestridge, Inc's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
When was the Crestridge, Inc's 1225021942 issued?
The Crestridge, Inc's 1225021942 was issued on 2005-08-28.
As of what date were the Crestridge, Inc's details last updated?
The information pertaining to the Crestridge, Inc, including its address, specialty, and other details, was most recently updated on 2014-12-15.