Free State Crestwood

LBN: Crestwood Scc Llc
Free State Crestwood is an health care organization with primary practice located at 1440 Houston St , Wills Point TX 75169-3135. 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 Scc Llc can be contacted via phone (903) 873-5400, or through Beal, Michael via phone (214) 252-7600.

Contact Information

Primary practice address
1440 Houston St Wills Point TX 75169-3135
Phone: (903) 873-5400
Fax: (903) 873-4404
Website:
Map and Directions
Authorized official contact:
Name: Beal, Michael
Phone: (214) 252-7600

Health care specialties

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

Profile Details

NPI number 1568607372
LBN Legal business name Crestwood Scc Llc
DBA Doing business as Free State Crestwood
Authorized official Beal, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2008
Last updated Mar 5th, 2020 - about 4 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 1568607372 NPPES
Texas MEDICAID 001017218
Texas Other 030034

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