Cross Creek Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1111096 Issued in FL

Legal business name

CROSS CREEK HEALTH CARE ASSOCIATES LLC

Practice address

10040 Hillview Rd
Pensacola, FL 32514-5499

Phone

(850) 474-0570

Fax

(850) 479-4328

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Renita C. Enfinger

Title

Manager

Phone

(850) 474-0570

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• University Hills Health and Rehabilitation Doing business as

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1346296985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 HILLVIEW RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145499",
            "telephone_number": "850-474-0570",
            "fax_number": "850-479-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 HILLVIEW RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145499",
            "telephone_number": "850-474-0570",
            "fax_number": "850-479-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CREEK HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "ENFINGER",
        "authorized_official_first_name": "RENITA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-474-0570"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1111096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025212300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Hills Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Olaf Crooke, D.D.S.
• Daniel Lewis Croom
• Emily Andrews Croom, M.D.
• Sandra Toler Crosby
• Sherry Lea Crosby, APRN
• Bryan Cross, D.O.
• Earl Jay Crosswright Jr., M.D.
• Cindy R Crothers, FNP-C
• Tara Nicole Crotwell, M.S.
• Michael Andrew Crounse, MD

• Skilled Nursing Facility in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.