Crestwater Health and Rehab Charlotte Harbor, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CRESTWATER HEALTH AND REHAB CHARLOTTE HARBOR, LLC

Practice address

4000 Kings Hwy
Port Charlotte, FL 33980-8718

Phone

(941) 255-5855

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By 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

Bonnie Oreilly

Title

Administrator

Phone

(941) 255-5855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1679477657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 KINGS HWY",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 KINGS HWY",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808718",
            "telephone_number": "941-255-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWATER HEALTH AND REHAB CHARLOTTE HARBOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "OREILLY",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-255-5855"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.