Crestwood Manor-Fremont

LBN: Crestwood Behavioral Health Inc
Crestwood Manor-Fremont is an health care organization with primary practice located at 4303 Stevenson Blvd , Fremont CA 94538-2645. 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 (510) 651-1244, or through Blackburn, Lori via phone (209) 955-2322.

Contact Information

Primary practice address
4303 Stevenson Blvd Fremont CA 94538-2645
Phone: (510) 651-1244
Fax: (510) 651-1127
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

Profile Details

NPI number 1902828403
LBN Legal business name Crestwood Behavioral Health Inc
DBA Doing business as Crestwood Manor-Fremont
Authorized official Blackburn, Lori
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 24th, 2006
Last updated May 19th, 2015 - about 10 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 1902828403 NPPES
California MEDICAID LTC90080F

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