Putnam Council On Aging Inc

LBN: Crestwood Nursing Center Inc
Putnam Council On Aging Inc is an health care organization with primary practice located at 501 S Palm Ave , Palatka FL 32177-4147. 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. Crestwood Nursing Center Inc can be contacted via phone (386) 328-1472, or through Hagan, Robert via phone (770) 993-4000.

Contact Information

Primary practice address
501 S Palm Ave Palatka FL 32177-4147
Phone: (386) 328-1472
Fax: (386) 325-1531
Website:
Map and Directions
Authorized official contact:
Name: Hagan, Robert
Phone: (770) 993-4000

Health care specialties

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

Profile Details

NPI number 1023010071
LBN Legal business name Crestwood Nursing Center Inc
DBA Doing business as Putnam Council On Aging Inc
Authorized official Hagan, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 18th, 2019 - about 7 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 1023010071 NPPES
Florida MEDICAID 031227400

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