Active NPI
Cresthaven East LLC
- Assisted Living Facility
- West Palm Beach, FL
National Provider Identifier
1013001817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 04769
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.