Crestview Manor, LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N-0343 Issued in IA

Legal business name

CRESTVIEW MANOR, LTD

Practice address

2401 Des Moines St
Webster City, IA 50595-3046

Phone

(515) 832-2727

Fax

(515) 832-2761

NPI assigned

Sep 13, 2005

Last updated

Dec 30, 2009By 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

Ann Root

Title

Administrator

Phone

(515) 832-2727

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1457346751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DES MOINES ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505953046",
            "telephone_number": "515-832-2727",
            "fax_number": "515-832-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 DES MOINES ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505953046",
            "telephone_number": "515-832-2727",
            "fax_number": "515-832-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW MANOR, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "ROOT",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-832-2727"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N-0343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Challen, DC
• Kelsey Irene Clarken
• Anna Lee Collins
• County of Hamilton (Hamilton County Public Health Nursing Service)
• County of Hamilton (Hamilton County Public Health Nursing Service)
• Crestview Nursing and Rehabilitation, LLC
• Crestview Opco LLC
• Kristen Kay Davison, PA-C
• Dental Associates 3, PLLC
• Christine Susanne Donner-Tiernan, PHARMD

• Skilled Nursing Facility in Webster City, IA
• Providers in Webster City, 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 30, 2009; 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.