Cresthaven Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

ZZR18059H Issued in CA

Legal business name

CRESTHAVEN NURSING HOME

Practice address

740 17TH Ave
Santa Cruz, CA 95062-4122

Phone

(831) 475-3812

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Margaret Amos

Title

Administrator

Phone

(831) 475-3812

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1164590832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 17TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624122",
            "telephone_number": "831-475-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 17TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624122",
            "telephone_number": "831-475-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTHAVEN NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "831-475-3812",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "ZZR18059H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Errick Davon Craven, PHARMD
• Matt Craven
• Lamar Crawford
• Melanie Crawford
• Jonathan Hart Cress, M.D.
• Ronald Randolph Crocker
• Lindsay Beth Croker, M.D.
• Jason Cronin, LAC.
• Sara Katharine Cronin, NP
• Kylie Anne Cross

• Skilled Nursing Facility in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.