Crystal Creek Health And Rehabilitation Center

LBN: Flo-Gp Leasing Co., Llc
Crystal Creek Health And Rehabilitation Center is an health care organization with primary practice located at 250 S New Florissant Rd , Florissant MO 63031-6716. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Flo-Gp Leasing Co., Llc can be contacted via phone (314) 838-2211, or through Stoltz, Charles via phone (513) 489-7100.

Contact Information

Primary practice address
250 S New Florissant Rd Florissant MO 63031-6716
Phone: (314) 838-2211
Fax: (314) 838-5981
Website:
Map and Directions
Authorized official contact:
Name: Stoltz, Charles
Phone: (513) 489-7100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 030945 Missouri
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X

Profile Details

NPI number 1437130747
LBN Legal business name Flo-Gp Leasing Co., Llc
DBA Doing business as Crystal Creek Health And Rehabilitation Center
Authorized official Stoltz, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2005
Last updated Sep 28th, 2022 - about 2 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 1437130747 NPPES
Missouri MEDICAID 107807703

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