Crestview Home

LBN: N & R Of Crestview Llc
Crestview Home is an health care organization with primary practice located at 1313 South 25Th Street , Bethany MO 64424. 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. N & R Of Crestview Llc can be contacted via phone (660) 425-3138, or through Lincoln, James C via phone (573) 481-9625.

Contact Information

Primary practice address
1313 South 25Th Street Bethany MO 64424
Phone: (660) 425-3138
Fax: (660) 425-6922
Website:
Map and Directions
Authorized official contact:
Name: Lincoln, James C
Phone: (573) 481-9625

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 031793 Missouri
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 34647 Missouri

Profile Details

NPI number 1558397661
LBN Legal business name N & R Of Crestview Llc
DBA Doing business as Crestview Home
Authorized official Lincoln, James C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Apr 29th, 2008 - about 17 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 1558397661 NPPES
Missouri MEDICAID 101484806

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