Crestwood House Llc

LBN: Crestwood House Llc
Crestwood House Llc is an health care organization with primary practice located at 848 Crestwood Ave , Titusville FL 32796-2264. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Crestwood House Llc can be contacted via phone (321) 501-3280, or through Mcknight, David Alan via phone (321) 501-3280.

Contact Information

Primary practice address
848 Crestwood Ave Titusville FL 32796-2264
Phone: (321) 501-3280
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcknight, David Alan
Phone: (321) 501-3280

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL12735 Florida

Profile Details

NPI number 1144689852
LBN Legal business name Crestwood House Llc
DBA Doing business as
Authorized official Mcknight, David Alan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2016
Last updated Feb 23rd, 2016 - 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 1144689852 NPPES
Florida MEDICAID 016035300

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