Crestwood Terrace
LBN: Crestwood Terrace Operator Llc
Crestwood Terrace is an health care organization with primary practice located at 13301 Central Ave , Crestwood IL 60445-1370. 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.
Crestwood Terrace Operator Llc can be contacted via phone (708) 597-5251, or through Weinfeld, Avrum via phone (847) 674-5795.
Contact Information
Primary practice address
13301 Central Ave
Crestwood IL 60445-1370
Phone: (708) 597-5251
Fax: (708) 597-4998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 0022863 | Illinois |
Profile Details
| NPI number | 1811084213 |
|---|---|
| LBN Legal business name | Crestwood Terrace Operator Llc |
| DBA Doing business as | Crestwood Terrace |
| Authorized official | Weinfeld, Avrum |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811084213 | NPPES |
| Illinois | MEDICAID | 362883290001 |
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