Crest Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CREST OPCO LLC

Practice address

6745 Pittsford Palmyra Rd
Fairport, NY 14450-3343

Phone

(585) 223-3633

NPI assigned

Dec 25, 2023

Organization subpart

No

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

Authorized official

Name

Avrohom J Brown

Title

Manager

Phone

(845) 642-9186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335467

Legal name

CREST OPCO LLC

Doing business as

CREST MANOR LIVING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1976

Last certification

Oct 15, 2024

Beds

80

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Jun 23, 2023

Organization structure

LLCProprietary

Incorporated

Jun 23, 2023 in NY

Enrollment address

6745 Pittsford Palmyra Rd
Fairport, NY 14450-3343

Nursing home name

CREST MANOR LIVING AND REHABILITATION CENTER

Listed as

Crest Manor Living and Rehabilitation CenterCCN 335467 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8071.7 residents per day on average

Penalties (3 years)

1Fines totaling $41,360

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Steven Buslovich, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1407172323

  Adp of the SNF, Contracted Managing Employee

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Eastside Opco LLC

  • Skilled Nursing Facility
  • Warsaw, NY
  • NPI 1487423059

  Ajb LLC, Cme JM Opco Holdings LLC

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Buslovich, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1407172323
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Steven Buslovich, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1407172323

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1811766496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6745 PITTSFORD PALMYRA RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503343",
            "telephone_number": "585-223-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6745 PITTSFORD PALMYRA RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503343",
            "telephone_number": "585-223-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-25",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "AVROHOM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-642-9186"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Crawford, MS, OTR/L
• Bonnie Creedon, LPN
• Teresa M Crego, SP. ED. TEACHER
• Catherine Marie Crescenzi, SLP
• Crest Manor Living and Rehabilitation Center Inc
• Cross Keys Internal Medicine,LLP
• Crosskeys Dental
• Tasha Lynn Crown, MSPT
• Sarah Crumley
• Andres Alejandro Cruz

• Skilled Nursing Facility in Fairport, NY
• Providers in Fairport, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.