Crest Healthcare Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CREST HEALTHCARE INC.

Practice address

3651 Lindell Rd
D748
Las Vegas, NV 89103-1254

Phone

(702) 544-0355

NPI assigned

May 18, 2013

Organization subpart

No

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

Authorized official

Name

Shawneca Beckum

Title

President/Ceo

Phone

(702) 589-3095

Specialties & licenses 1

Addresses

Tax ID family

Crest Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crest Healthcare Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1306451711
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heyward Jackson Jr., LCADCI

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1598036709
  NPD

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

{
    "created_epoch": "1368835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1033555958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 LINDELL RD",
            "address_2": "D748",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031254",
            "telephone_number": "702-589-3095",
            "fax_number": "702-508-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 LINDELL RD",
            "address_2": "D748",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031254",
            "telephone_number": "702-544-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-18",
        "last_updated": "2021-03-05",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "BECKUM",
        "authorized_official_first_name": "SHAWNECA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "702-589-3095"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasiel Crespo Alvarez
• Elaine Crespo
• Nayelys Crespo
• Karen Cress
• Todd H Cressman, DDS
• Crest Healthcare Inc.
• Crest Point Home Health LLC (Crest Point Home Healthcare)
• Crest Valley Home Health LLC
• Melissa Michelle Cresto, PHYSICIAN ASSISTANT
• Michael Creth

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.