Creat Hall Care Center

LBN: Crest Hall Corp.
Creat Hall Care Center is an health care organization with primary practice located at 63 Oakcrest Ave , Middle Island NY 11953-1415. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Crest Hall Corp. can be contacted via phone (631) 924-8830, or through Dimant, Jacob via phone (631) 924-8830.

Contact Information

Primary practice address
63 Oakcrest Ave Middle Island NY 11953-1415
Phone: (631) 924-8830
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dimant, Jacob Doctor of Medicine (MD)
Phone: (631) 924-8830

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 5151314N New York

Profile Details

NPI number 1801889985
LBN Legal business name Crest Hall Corp.
DBA Doing business as Creat Hall Care Center
Authorized official Dimant, Jacob Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2005
Last updated Feb 6th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801889985 NPPES
New York MEDICAID 01995922

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