Crestwood Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CRESTWOOD OPERATIONS LLC

Practice address

501 S Palm Ave
Palatka, FL 32177-4147

Phone

(386) 698-2222

NPI assigned

Nov 25, 2019

Organization subpart

Yes

Parent organization

MAXIMUS HEALTHCARE GROUP LLCAs reported in NPPES

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

Authorized official

Name

Lynne Place

Title

VP of Finance

Phone

(828) 322-8171

Specialties & licenses 1

Addresses

Other names 1

• Crestwood Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1881230803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9268",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286039268",
            "telephone_number": "828-322-8171",
            "fax_number": "828-322-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S PALM AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774147",
            "telephone_number": "386-698-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD OPERATIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAXIMUS HEALTHCARE GROUP LLC",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "PLACE",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "828-322-8171"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestwood Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Erica Cox, MED/EDS
• Wendy Pauline Cox, ARNP, FNP-BC
• Brittany Ann Crane, PTA
• Kaitlyn Mae Cremer Smith, OTD, OTR/L
• Crestwood Nursing Center Inc
• Alex Culbreth, LCSW
• Culpepper Harrell, Inc
• Culpepper Harrell, Inc
• Culpepper Harrell, Inc
• Pamela M. Curry, L.M.H.C.

• Skilled Nursing Facility in Palatka, FL
• Providers in Palatka, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.