Crestmont Healthcare Center

LBN: Ssc Fenton Operating Company Llc
Crestmont Healthcare Center is an health care organization with primary practice located at 111 Trealout Dr , Fenton MI 48430-1481. 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. Ssc Fenton Operating Company Llc can be contacted via phone (810) 629-4105, or through Santoro, Kelle C via phone (832) 467-5728.

Contact Information

Primary practice address
111 Trealout Dr Fenton MI 48430-1481
Phone: (810) 629-4105
Fax: (810) 629-7538
Website:
Map and Directions
Authorized official contact:
Name: Santoro, Kelle C
Phone: (832) 467-5728

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 254210 Michigan

Profile Details

NPI number 1124061353
LBN Legal business name Ssc Fenton Operating Company Llc
DBA Doing business as Crestmont Healthcare Center
Authorized official Santoro, Kelle C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Apr 10th, 2015 - about 11 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 1124061353 NPPES
Michigan MEDICAID 4882204

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