Crestmont North Nursing Home

LBN: Crestmont Nursing Home North Corp.
Crestmont North Nursing Home is an health care organization with primary practice located at 13330 Detroit Ave , Lakewood OH 44107-2850. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Crestmont Nursing Home North Corp. can be contacted via phone (216) 228-9550, or through Coury, Elias J via phone (216) 539-7846.

Contact Information

Primary practice address
13330 Detroit Ave Lakewood OH 44107-2850
Phone: (216) 228-9550
Fax: (216) 521-2193
Website:
Map and Directions
Authorized official contact:
Name: Coury, Elias J
Phone: (216) 539-7846

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 4284 Ohio

Profile Details

NPI number 1487656773
LBN Legal business name Crestmont Nursing Home North Corp.
DBA Doing business as Crestmont North Nursing Home
Authorized official Coury, Elias J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Oct 3rd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487656773 NPPES
Ohio MEDICAID 0880793

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