Crestview Manor, Inc.

LBN: Willow Crest, Inc.
Crestview Manor, Inc. is an health care organization with primary practice located at 1410 E. Buena Ventura St. , Colorado Springs CO 80909-2825. 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. Willow Crest, Inc. can be contacted via phone (719) 473-6339, or through Schmidt, Karl D. via phone (719) 473-6339.

Contact Information

Primary practice address
1410 E. Buena Ventura St. Colorado Springs CO 80909-2825
Phone: (719) 473-6339
Fax: (719) 448-9301
Website:
Map and Directions
Authorized official contact:
Name: Schmidt, Karl D.
Phone: (719) 473-6339

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL-0908 Colorado

Profile Details

NPI number 1316005234
LBN Legal business name Willow Crest, Inc.
DBA Doing business as Crestview Manor, Inc.
Authorized official Schmidt, Karl D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Aug 22nd, 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 1316005234 NPPES
Colorado MEDICAID 04141545

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