Organization Active NPI

Crownhill Nursing & Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Garland, TX
National Provider Identifier
1235460874
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
128569 Issued in TX
Legal business name
CROWNHILL NURSING & REHABILITATION CENTER, LLC
Practice address
505 W Centerville Rd
Garland, TX 75041-5445
Phone
(972) 278-3566
Fax
(972) 278-3566
NPI assigned
Jan 21, 2010
Last updated
Jan 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Sidney Pinter
Title
Member
Phone
(718) 535-3801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 128569 TX Primary

Addresses

Primary practice location

505 W Centerville Rd
Garland, TX 75041-5445

Mailing address

805 Avenue L
Suite 2
Brooklyn, NY 11230-5114
Phone (718) 535-3801

Other identifiers 1

IdentifierTypeStateIssuer
001014744MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1235460874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 AVENUE L",
            "address_2": "SUITE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305114",
            "telephone_number": "718-535-3801",
            "fax_number": "718-535-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W CENTERVILLE RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415445",
            "telephone_number": "972-278-3566",
            "fax_number": "972-278-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWNHILL NURSING & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "PINTER",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-535-3801"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "128569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014744",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.