Organization Active NPI

Crestwater Health and Rehab Lake City, LLC

  • Skilled Nursing Facility
  • Lake City, FL
National Provider Identifier
1073417978
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CRESTWATER HEALTH AND REHAB LAKE CITY, LLC
Practice address
560 SW McFarlane Ave
Lake City, FL 32025-5614
Phone
(386) 758-4777
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Patricia Delrio
Title
Administrator
Phone
(386) 758-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

560 SW McFarlane Ave
Lake City, FL 32025-5614

Mailing address

560 SW McFarlane Ave
Lake City, FL 32025-5614

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1073417978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SW MCFARLANE AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SW MCFARLANE AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255614",
            "telephone_number": "386-758-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWATER HEALTH AND REHAB LAKE CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "DELRIO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-758-4777"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.