Eden Specialty Care

LBN: Crestcare Nursing & Rehabilitation Center
Eden Specialty Care is an health care organization with primary practice located at 1301 Eden Dr , Longview TX 75605-4102. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Crestcare Nursing & Rehabilitation Center can be contacted via phone (903) 753-7651, or through Williams, Leroy via phone (281) 574-7495.

Contact Information

Primary practice address
1301 Eden Dr Longview TX 75605-4102
Phone: (903) 753-7651
Fax: (903) 758-8942
Website:
Map and Directions
Authorized official contact:
Name: Williams, Leroy
Phone: (281) 574-7495

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 110571 Texas
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 110571 Texas
Respite Care Facility / Respite Care 385H00000X 110571 Texas

Profile Details

NPI number 1619967932
LBN Legal business name Crestcare Nursing & Rehabilitation Center
DBA Doing business as Eden Specialty Care
Authorized official Williams, Leroy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 2nd, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619967932 NPPES
Texas MEDICAID 001003848
Texas MEDICAID 1668709-01

Popular Providers