Crestview Acres, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0806398 Issued in IA

Legal business name

CRESTVIEW ACRES, INC

Doing business as

Crestview Acres

Practice address

1485 Grand Ave
Marion, IA 52302-5219

Phone

(319) 377-4823

Fax

(319) 377-4501

NPI assigned

Aug 28, 2005

Last updated

Dec 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerry William Voyna, CPA

Title

President

Phone

(515) 276-3656

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crestview Acres Doing business as

Locations

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

{
    "created_epoch": "1125187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1215920939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 HICKMAN RD",
            "address_2": "SUITE 15",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254312",
            "telephone_number": "515-276-3656",
            "fax_number": "515-276-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 GRAND AVE",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523025219",
            "telephone_number": "319-377-4823",
            "fax_number": "319-377-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW ACRES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-28",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "VOYNA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-276-3656",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "0806398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0806398",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview Acres",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Marion, IA
• Providers in Marion, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.