Crestview Acres, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0806414 Issued in IA

Legal business name

CRESTVIEW ACRES, INC

Doing business as

Sunnycrest Nursing Center

Practice address

401 Crisman St
Dysart, IA 52224-9520

Phone

(319) 476-2400

Fax

(319) 476-3622

NPI assigned

Aug 28, 2005

Last updated

Dec 15, 2014By 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

Jerry William Voyna, CPA

Title

President

Phone

(515) 276-3656

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunnycrest Nursing Center Doing business as

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

{
    "created_epoch": "1125187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1588657209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 HICKMAN RD",
            "address_2": "SUITE 15",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254311",
            "telephone_number": "515-276-3656",
            "fax_number": "515-276-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CRISMAN ST",
            "city": "DYSART",
            "state": "IA",
            "postal_code": "522249520",
            "telephone_number": "319-476-2400",
            "fax_number": "319-476-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW ACRES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-28",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "VOYNA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-276-3656",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "0806414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0806414",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnycrest Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aspire Health and Wellness LLC
• Jamie L Barnett, ARNP
• Blue Care Opco Dysart, LLC
• Busy Bees Total Care and Transportation
• City of Dysart (Dysart Ambulance Service)
• Family Medical Inc.
• Sarah Elizabeth Gingrich, DDS
• Rebecca Greene, CPM
• Stephanie Ann Hookham
• Dawn Marie Hupfeld, MS, LMHC

• Skilled Nursing Facility in Dysart, IA
• Providers in Dysart, 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 15, 2014; 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.