Crestwood Health Care Center

LBN: Crestwood Health Care Center, L.L.C.
Crestwood Health Care Center is an health care organization with primary practice located at 11400 Mehl Avenue , Florissant MO 63033-7204. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Crestwood Health Care Center, L.L.C. can be contacted via phone (314) 741-3525, or through Dundoo, Ashwin via phone (314) 543-3800.

Contact Information

Primary practice address
11400 Mehl Avenue Florissant MO 63033-7204
Phone: (314) 741-3525
Fax: (314) 741-3721
Website:
Map and Directions
Authorized official contact:
Name: Dundoo, Ashwin
Phone: (314) 543-3800

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 038173 Missouri

Profile Details

NPI number 1083882682
LBN Legal business name Crestwood Health Care Center, L.L.C.
DBA Doing business as Crestwood Health Care Center
Authorized official Dundoo, Ashwin
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2008
Last updated Apr 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083882682 NPPES
Missouri MEDICAID 102504701

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