NPIMap

Organization Active NPI

Crestview Healthcare Residence LTD

  • Skilled Nursing Facility
  • Waco, TX
National Provider Identifier
1508813601
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
113045 Issued in TX
Legal business name
CRESTVIEW HEALTHCARE RESIDENCE LTD
Practice address
1400 Lake Shore Dr
Waco, TX 76708-3718
Phone
(254) 753-0291
Fax
(254) 753-3343
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Scott Marwitz
Title
President, Coo CHCR Inc. Gen. PTR.
Phone
(254) 753-7367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 113045 TX Primary

Addresses

Primary practice location

1400 Lake Shore Dr
Waco, TX 76708-3718

Mailing address

2524 Austin Ave
Waco, TX 76710-7418
Phone (254) 753-7367

National Provider Directory

National Provider Directory
Tax ID family
Demetrios Katsaros39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508813601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 AUSTIN AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107418",
            "telephone_number": "254-753-7367",
            "fax_number": "254-753-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LAKE SHORE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083718",
            "telephone_number": "254-753-0291",
            "fax_number": "254-753-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW HEALTHCARE RESIDENCE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARWITZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT, COO CHCR INC. GEN. PTR.",
        "authorized_official_telephone_number": "254-753-7367",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "113045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.