Crestview Nursing, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100383 Issued in KY

Legal business name

CRESTVIEW NURSING, LLC

Doing business as

Crestview Center

Practice address

1871 Midland TRL
Shelbyville, KY 40065-9111

Phone

(502) 589-3573

Fax

(502) 633-7890

NPI assigned

Aug 17, 2006

Organization subpart

Yes

Parent organization

SUNBRIDGE HEALTHCARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Michael Berg

Title

Assistant Secretary

Phone

(505) 468-4742

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crestview Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Terrace Hghts Nursing H

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sunbridge Healthcare LLC

  dba Cottage of the Shoals

  • Skilled Nursing Facility
  • Tuscumbia, AL
  • NPI 1285685362

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1245343706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUN AVE NE",
            "address_2": "COMPLIANCE DEPARTMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094373",
            "telephone_number": "505-468-5604",
            "fax_number": "505-468-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 MIDLAND TRL",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400659111",
            "telephone_number": "502-589-3573",
            "fax_number": "502-633-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW NURSING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE CORPORATION",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Marie Crawford, PHARMD
• CRC Health Treatment Clinics, LLC (Shelbyville Comprehensive Treatment Center)
• CRC Health Treatment Clinics, LLC 3255
• Alice Barton Creque
• Ron E Creque Jr., MD
• Susan E Crumbaugh
• CSD Medical Services
• Cumberland Family Medical Center Inc (Womens Care of the Blugrass-Shelbyville)
• Mary Cupp, LCADC,CADC
• D & D Freedom PSC (Kentucky Family Chiropractic PSC)

• Skilled Nursing Facility in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.