CREST HAVEN CARE CENTER, LLC (NPI# 1710940358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710940358 |
| Entity Type | Organization |
| Organization Name | CREST HAVEN CARE CENTER, LLC |
| Other Organization Name | CREST HAVEN CARE CENTRE |
| Practice Address |
1000 E Howard St Creston IA 50801-2723 |
| Mailing Address |
11523 Palmbrush Trl Suite 331 Lakewood Ranch FL 34202-2917 |
| Practice Telephone | 6417825012 |
| Practice Fax Number | 6417825309 |
| Mailing Telephone | 9417584745 |
| Mailing Fax Number | 8883912373 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2012-06-27 |
| Authorized Official Name | MR. GREGORY S BENCH (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 9417584745 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 880066 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0800080 | 05 | |
| IA | 0800425 | 05 | |
| IA | 0236984 | 05 |
| Other Name | Type Code |
|---|---|
| Crest Haven Care Centre | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CREST HAVEN CARE CENTER, LLC | 5115 E State Road 64, Bradenton, FL 34208 |
| Street Address |
1000 E HOWARD ST |
| City | CRESTON |
| State | IA |
| Zip Code | 50801-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831361526 | Diana Huntington | Occupational Therapist | 1000 E Howard St, Creston, IA 50801-2723 | 2008-04-02 |
| 1205006939 | Norris D Mercure | Physical Therapist | 1000 E Howard St, Creston, IA 50801-2723 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053694802 | Crossroads Behavioral Health Center | Clinic/Center | 1003 Cottonwood St., Creston, IA 50801 | 2011-09-27 |
| 1578735452 | Homestead of Creston Operations LLC | Assisted Living Facility | 1709 West Prairie Street, Creston, IA 50801 | 2008-03-31 |
| 1194937391 | Swfac Plc | Podiatrist | 1610 W Townline, Creston, IA 50801 | 2007-05-03 |
| 1013137264 | Virginia W Lents | Dietitian, Registered | 1700 W Townline, Creston, IA 50801 | 2007-04-30 |
| 1356411219 | Steven Kent Tilley | Dentist | 304 West Lucas, Creston, IA 50801 | 2006-11-08 |
| 1598859696 | Dennis R Hopkins | Chiropractor | 905 W. Townline St., Creston, IA 50801 | 2006-10-03 |
| 1922011139 | Theresa R Bensky | Social Worker | 900 W Montgomery St, Creston, IA 50801 | 2006-08-15 |
| 1164487872 | Area Xiv Agency On Aging | Home Delivered Meals | 215 Montgomery St, Creston, IA 50801 | 2006-04-18 |
| 1578531877 | Crossroads Behavioral Health Services | Counselor | 1003 Cottonwood Rd, Creston, IA 50801 | 2006-03-10 |
| 1972540011 | James D Gerdes | Family Medicine | 1610 W Townline St, Creston, IA 50801 | 2006-05-31 |
| Find all providers in zip 50801 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578533022 | Care Initiatives | Skilled Nursing Facility | 1001 Cottonwood Rd, Creston, IA 50801-1012 | 2006-01-26 |
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| 1356807101 | Accura Healthcare of Aurelia LLC | Skilled Nursing Facility | 401 W 5th St, Aurelia, IA 51005-7712 | 2019-02-18 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1255828919 | Brio of Johnston, LLC | Skilled Nursing Facility | 6901 Peckham St, Johnston, IA 50131-3143 | 2018-04-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.