Crest Manor Living and Rehabilitation Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2762301N Issued in NY

Legal business name

CREST MANOR LIVING AND REHABILITATION CENTER INC

Practice address

6745 Pittsford Palmyra Rd
Fairport, NY 14450-3343

Phone

(585) 223-3633

Fax

(585) 425-2961

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Alan John Bartholomew Sr., LNHA

Title

Administrator

Phone

(585) 223-3633

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Buslovich, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1407172323
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1356348874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6745 PITTSFORD PALMYRA RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503343",
            "telephone_number": "585-223-3633",
            "fax_number": "585-425-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6745 PITTSFORD PALMYRA RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503343",
            "telephone_number": "585-223-3633",
            "fax_number": "585-425-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST MANOR LIVING AND REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "BARTHOLOMEW",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "585-223-3633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2762301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "CM",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355519",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P015005983",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF. CARE",
            "identifier": "106012CI",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie R Crawford, GNP
• Jenna Crawford, MS, OTR/L
• Bonnie Creedon, LPN
• Teresa M Crego, SP. ED. TEACHER
• Catherine Marie Crescenzi, SLP
• Crest Opco LLC
• Cross Keys Internal Medicine,LLP
• Crosskeys Dental
• Tasha Lynn Crown, MSPT
• Sarah Crumley

• Skilled Nursing Facility in Fairport, NY
• Providers in Fairport, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.