Organization Active NPI

Crestmoor Health and Rehabilitation Center LLC

  • Respite Care
  • Denver, CO
National Provider Identifier
1821766486
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
CRESTMOOR HEALTH AND REHABILITATION CENTER LLC
Practice address
895 S Monaco Pkwy
Denver, CO 80224-1501
Phone
(303) 321-3110
NPI assigned
Aug 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Zisha Margulies
Title
Ceo
Phone
(718) 942-3483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

895 S Monaco Pkwy
Denver, CO 80224-1501

Mailing address

2420 Knapp St
Brooklyn, NY 11235-1006
Phone (718) 942-3483

Other names 1

  • CRESTMOOR HEALTH AND REHABILITATION CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pcc Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1821766486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 KNAPP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351006",
            "telephone_number": "718-942-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 S MONACO PKWY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241501",
            "telephone_number": "303-321-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTMOOR HEALTH AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "MARGULIES",
        "authorized_official_first_name": "ZISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-942-3483"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pcc",
            "affiliation": "N",
            "endpointDescription": "medical records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "895 S Monaco Pkwy",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802241501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CRESTMOOR HEALTH AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CRESTMOOR HEALTH AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.