Krest Holdings, LLC

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

KREST HOLDINGS, LLC

Doing business as

STAR Center Pediatric Day Health Care

Practice address

109 E Central Ave
Madera, CA 93638-3109

Phone

(559) 674-8670

Fax

(559) 674-5852

NPI assigned

Jun 2, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Dana D Lennemann

Title

Owner/Administartor

Phone

(559) 363-3156

Specialties & licenses 1

Addresses

Other names 1

• STAR Center Pediatric Day Health Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Golden Krest Pediatric Day Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Krest Holdings, LLC

  • Pediatric Skilled Nursing Facility
  • Madera, CA
  • NPI 1043930498
  NPD tax ID

Locations

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1962196022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E CENTRAL AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383109",
            "telephone_number": "559-674-8670",
            "fax_number": "559-674-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E CENTRAL AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383109",
            "telephone_number": "559-674-8670",
            "fax_number": "559-674-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREST HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "LENNEMANN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/ADMINISTARTOR",
        "authorized_official_telephone_number": "559-363-3156",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR Center Pediatric Day Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheri Ann Koretoff, NP
• Chelsea-Lynne Uluwehi Kosareff, PNP, RN, CPNP-PC
• Paul G Kratzer, MD
• Keri A Kres, PA
• Krest Holdings, LLC
• Kelly L Kriwanek Rappleye, MD
• Emiko Theresa-Beth Kubose
• Jenna Christine Kuipers, PPCNP-BC
• Prarthana Arun Kumar, DMD MPH
• Carol Jean Kurushima, OTR/L

• Pediatric Skilled Nursing Facility in Madera, CA
• Providers in Madera, CA by specialty
• Pediatric Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.