Crestridge Care Center

LBN: Crestridge, Inc
Crestridge Care Center is an health care organization with primary practice located at 1015 Wesley Dr , Maquoketa IA 52060-2637. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Crestridge, Inc can be contacted via phone (563) 652-4968, or through Voyna, Jerry William via phone (515) 276-3656.

Contact Information

Primary practice address
1015 Wesley Dr Maquoketa IA 52060-2637
Phone: (563) 652-4968
Fax: (563) 652-4969
Website:
Map and Directions
Authorized official contact:
Name: Voyna, Jerry William CPA
Phone: (515) 276-3656

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0806406 Iowa

Profile Details

NPI number 1225021942
LBN Legal business name Crestridge, Inc
DBA Doing business as Crestridge Care Center
Authorized official Voyna, Jerry William CPA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2005
Last updated Dec 15th, 2014 - about 12 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 1225021942 NPPES
Iowa MEDICAID 0806406

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