Crestview HH Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CRESTVIEW HH OPCO LLC

Practice address

1400 Lake Shore Dr
Waco, TX 76708-3718

Phone

(254) 753-0291

NPI assigned

Jul 17, 2019

Organization subpart

No

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

Authorized official

Name

Michael Little

Title

Manager

Phone

(512) 520-7320

Specialties & licenses 1

Addresses

Other names 1

• Crestview Healthcare Residence Doing business as

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1548813652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LAKE SHORE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083718",
            "telephone_number": "254-753-0291"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW HH OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-520-7320"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview Healthcare Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donell Elaine Creel, COTA
• Lindsey Humphrey Crelia, LCSW, RPT
• Gregory Lee Cresap
• Vanessa Paulette Cressy, LCSW
• Crestview Healthcare Residence LTD
• Kendra Thomas Crill, COTA
• Chad David Crim, MD
• Crockett Senior Care, LLC
• Tara Dean Croford, PTA
• Lee Croft

• Skilled Nursing Facility in Waco, TX
• Providers in Waco, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.