Crestwood Manor

LBN: Crestwood Behavioral Health, Inc.
Crestwood Manor is an health care organization with primary practice located at 1130 Monaco Ct , Stockton CA 95207-6704. 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. Crestwood Behavioral Health, Inc. can be contacted via phone (209) 478-2060, or through Blackburn, Lori via phone (209) 955-2322.

Contact Information

Primary practice address
1130 Monaco Ct Stockton CA 95207-6704
Phone: (209) 478-2060
Fax: (209) 478-3175
Website:
Map and Directions
Authorized official contact:
Name: Blackburn, Lori
Phone: (209) 955-2322

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X California

Profile Details

NPI number 1730128174
LBN Legal business name Crestwood Behavioral Health, Inc.
DBA Doing business as Crestwood Manor
Authorized official Blackburn, Lori
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated May 19th, 2015 - about 9 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 1730128174 NPPES
California MEDICAID ZZR55075H

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