Active NPI
Crestview Operating Company, Inc.
- Skilled Nursing Facility
- Saint Clairsville, OH
National Provider Identifier
1497750863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2241N
- Legal business name
- CRESTVIEW OPERATING COMPANY, INC.
- Practice address
- 68637 Bannock Rd
Saint Clairsville, OH 43950-9736 - Phone
- (740) 695-2500
- Fax
- (740) 695-5969
- NPI assigned
- Jun 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas D Nordquist
- Title
- President
- Phone
- (330) 726-6047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2241N | OH | Primary |
Addresses
Primary practice location
68637 Bannock Rd
Saint Clairsville, OH 43950-9736
Mailing address
68637 Bannock Rd
Saint Clairsville, OH 43950-9736
Phone (740) 695-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2433423 | Medicaid | OH | |
| 2241N | Other | OH | NURSING HOME LICENSE # |
Other names 1
- Crestview Health Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1497750863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68637 BANNOCK RD",
"city": "SAINT CLAIRSVILLE",
"state": "OH",
"postal_code": "439509736",
"telephone_number": "740-695-2500",
"fax_number": "740-695-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68637 BANNOCK RD",
"city": "SAINT CLAIRSVILLE",
"state": "OH",
"postal_code": "439509736",
"telephone_number": "740-695-2500",
"fax_number": "740-695-5969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESTVIEW OPERATING COMPANY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-14",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "NORDQUIST",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-726-6047",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "2241N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2433423",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING HOME LICENSE #",
"identifier": "2241N",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crestview Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Clairsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.