Active NPI
Crestwood Health Care Center Inc.
- Skilled Nursing Facility
- Niagara Falls, NY
National Provider Identifier
1144213471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3121301N
- Legal business name
- CRESTWOOD HEALTH CARE CENTER INC.
- Practice address
- 2600 Niagara Falls Blvd
Niagara Falls, NY 14304-4560 - Phone
- (716) 215-8000
- Fax
- (716) 215-8011
- NPI assigned
- Aug 23, 2005
- 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
- Mrs. Darlene Gale
- Title
- Director of Accounts Receivable
- Phone
- (716) 633-0021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3121301N | NY | Primary |
Addresses
Primary practice location
2600 Niagara Falls Blvd
Niagara Falls, NY 14304-4560
Mailing address
2600 Niagara Falls Blvd
Niagara Falls, NY 14304-4560
Phone (716) 215-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01615021 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144213471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 NIAGARA FALLS BLVD",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143044560",
"telephone_number": "716-215-8000",
"fax_number": "716-215-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 NIAGARA FALLS BLVD",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143044560",
"telephone_number": "716-215-8000",
"fax_number": "716-215-8011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESTWOOD HEALTH CARE CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GALE",
"authorized_official_first_name": "DARLENE",
"authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
"authorized_official_telephone_number": "716-633-0021",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "3121301N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01615021",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
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.