Crestwood Children'S Center

LBN: Crestwood Children'S Center
Crestwood Children'S Center is an health care organization with primary practice located at 1183 Monroe Ave , Rochester NY 14620-1662. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Crestwood Children'S Center can be contacted via phone (585) 654-1418, or through Antinone, Gary via phone (585) 654-1418.

Contact Information

Primary practice address
1183 Monroe Ave Rochester NY 14620-1662
Phone: (585) 654-1418
Fax: (585) 654-1450
Website:
Map and Directions
Authorized official contact:
Name: Antinone, Gary
Phone: (585) 654-1418

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1669709176
LBN Legal business name Crestwood Children'S Center
DBA Doing business as
Authorized official Antinone, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2009
Last updated Nov 5th, 2009 - about 15 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 1669709176 NPPES
New York MEDICAID 00343559

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