Organization Active NPI

Cresthaven East LLC

  • Assisted Living Facility
  • West Palm Beach, FL
National Provider Identifier
1013001817
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
04769 Issued in FL
Legal business name
CRESTHAVEN EAST LLC
Practice address
5100 Cresthaven Blvd
West Palm Beach, FL 33415-8618
Phone
(561) 964-2828
Fax
(561) 357-5838
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Morton J Gelberd
Title
President Managing Member
Phone
(561) 964-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 04769 FL Primary

Addresses

Primary practice location

5100 Cresthaven Blvd
West Palm Beach, FL 33415-8618

Mailing address

5100 Cresthaven Blvd
West Palm Beach, FL 33415-8618
Phone (561) 964-2828

Other names 1

  • Cresthaven East Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013001817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 CRESTHAVEN BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334158618",
            "telephone_number": "561-964-2828",
            "fax_number": "561-357-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 CRESTHAVEN BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334158618",
            "telephone_number": "561-964-2828",
            "fax_number": "561-357-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTHAVEN EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GELBERD",
        "authorized_official_first_name": "MORTON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT MANAGING MEMBER",
        "authorized_official_telephone_number": "561-964-2828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "04769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cresthaven East",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.