CRESTVIEW HEALTH CARE AND REHABILITATION INC (NPI# 1972568749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972568749 |
| Entity Type | Organization |
| Organization Name | CRESTVIEW HEALTH CARE AND REHABILITATION INC |
| Practice Address |
704 Dupree Rd Brownsville TN 38012 |
| Mailing Address |
Po Box 10 Parsons TN 38363-0010 |
| Practice Telephone | 7317723356 |
| Practice Fax Number | 7317721653 |
| Mailing Telephone | 7318476343 |
| Mailing Fax Number | 7318474200 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | MS. ROBIN F BRADLEY (SECRETARY) |
| Authorized Official Telephone | 6155958383 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERICAN HEALTH COMPANIES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 0122 | TN | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 0000000122 | TN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 744-0358 | 05 |
| Street Address |
704 DUPREE RD |
| City | BROWNSVILLE |
| State | TN |
| Zip Code | 38012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598309213 | Henrietta Butler-shaw | Technician | 43 Autumn Dr., Brownsville, TN 38012 | 2019-11-06 |
| 1083711535 | Jaime Montoya Chavez | Legal Medicine | Box 291, Brownsville, TN 38012 | 2006-09-19 |
| 1083628432 | Bernasue Valerie Mcelrath | Chiropractor | 37 S Wilson Ave, Brownsville, TN 38012 | 2006-07-28 |
| 1427094655 | Gary Dean Pettigrew | Pharmacist | 2288 N Washington Ave, Quality Drug Company, Brownsville, TN 38012 | 2006-06-22 |
| 1184674590 | Jason Lowell Smothers | Optometrist | 1100 S Dupree Ave, Brownsville, TN 38012 | 2006-05-10 |
| 1003302951 | Faith Family Medical Clinic, LLC | Nurse Practitioner | 511 E Main St, Brownsville, TN 38012 | 2018-07-03 |
| 1780073213 | Robert Franklin Callery | Registered Nurse | 511 E Main St, Brownsville, TN 38012 | 2015-01-21 |
| 1184055345 | Ray Wakefield | Nurse Practitioner | 2290 N Washington Ave, Brownsville, TN 38012 | 2013-12-12 |
| 1821148073 | State of Tennessee | Public Health or Welfare | 950 East Main Street, Brownsville, TN 38012 | 2007-01-11 |
| 1770659732 | Jerald W White | Specialist | 2565 N Washington Ave, Brownsville, TN 38012 | 2006-11-28 |
| Find all providers in zip 38012 | ||||
| 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 |
|---|---|---|---|---|
| 1982192001 | Uvalde County Hospital Authority | Skilled Nursing Facility | 310 America Dr, Brownsville, TX 78526 | 2018-04-24 |
| 1275992638 | Rio At Fox Hollow, LLC | Skilled Nursing Facility | 310 America Drive, Brownsville, TX 78526 | 2016-02-15 |
| 1689783425 | Valley Grande Manor Inc | Skilled Nursing Facility | 901 Wildrose Ln, Brownsville, TX 78520-8816 | 2006-08-29 |
| 1386623510 | Mother of Perpetual Help Nursing Home Inc | Skilled Nursing Facility | 519 E Madison St, Brownsville, TX 78520-6082 | 2006-01-16 |
| 1033191127 | Empire Spanish Meadows Ltd | Skilled Nursing Facility | 440 Ruben M Torres Blvd, Brownsville, TX 78520-9102 | 2005-11-15 |
| 1740277391 | Century-ebony Lake-geac,llc | Skilled Nursing Facility | 1001 Central Blvd, Brownsville, TX 78520-7533 | 2005-09-29 |
| 1588662969 | Tri-county Health Care, Inc. | Skilled Nursing Facility | 813 S Main St, Brownsville, KY 42210-9009 | 2005-07-11 |
| 1407493232 | Lonestar Valley Healthcare, LLC | Skilled Nursing Facility | 901 Wildrose Ln, Brownsville, TX 78520-8816 | 2019-11-27 |
| 1194104190 | Valley Grande Scc LLC | Skilled Nursing Facility | 901 Wildrose Ln, Brownsville, TX 78520-8816 | 2015-05-22 |
| 1972890317 | Vhs Brownsville Hospital Company LLC | Skilled Nursing Facility | 1040 W Jefferson St, Brownsville, TX 78520-6338 | 2011-07-06 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 38012 |
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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.