Crestview Retirement Community

LBN: Mrc Crestview
Crestview Retirement Community is an health care organization with primary practice located at 2505 E. Villa Maria Road , Bryan TX 77802-2038. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Mrc Crestview can be contacted via phone (979) 776-4778, or through Stephens, Donald M via phone (281) 210-0138.

Contact Information

Primary practice address
2505 E. Villa Maria Road Bryan TX 77802-2038
Phone: (979) 776-4778
Fax: (979) 774-7579
Website:
Map and Directions
Authorized official contact:
Name: Stephens, Donald M
Phone: (281) 210-0138

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 114290 Texas
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1578563342
LBN Legal business name Mrc Crestview
DBA Doing business as Crestview Retirement Community
Authorized official Stephens, Donald M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2005
Last updated Apr 28th, 2020 - about 5 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 1578563342 NPPES
Texas MEDICAID 0010033963
Texas MEDICAID 004350
Texas MEDICAID 001003963

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