RICHMOND CRESTVIEW HEALTH & REHABILITATION COMPLEX, LLC (NPI# 1003805797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003805797 |
| Entity Type | Organization |
| Organization Name | RICHMOND CRESTVIEW HEALTH & REHABILITATION COMPLEX, LLC |
| Other Organization Name | CRESTVIEW PERSONAL CARE HOME |
| Practice Address |
133 Meadowlark Dr Richmond KY 40475-2235 |
| Mailing Address |
Po Box 9 Richmond KY 40476-0009 |
| Practice Telephone | 8596235031 |
| Practice Fax Number | 8596253074 |
| Mailing Telephone | 8596235031 |
| Mailing Fax Number | 8596253074 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JANET JUSTICE (ADMINISTRATOR) |
| Authorized Official Telephone | 8596255031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 100320 | KY | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Crestview Personal Care Home | Doing Business As Name - Organization |
| Street Address |
133 MEADOWLARK DR |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134171 | Westport Operator LLC | Skilled Nursing Facility | 7300 Forest Ave, Richmond, VA 23226-3735 | 2019-10-08 |
| 1013450881 | Recover-care Richmond LLC | Skilled Nursing Facility | 340 South St, Richmond, KS 66080-4040 | 2016-11-28 |
| 1881062586 | Henry County Memorial Hospital | Skilled Nursing Facility | 400 Industries Road, Richmond, IN 47374-3727 | 2015-09-11 |
| 1144585019 | O'bryant House | Skilled Nursing Facility | 7122 Timber Moss Ln, Richmond, TX 77469-4115 | 2012-07-06 |
| 1952672487 | Kathy P Riordan | Skilled Nursing Facility | 211 Buena Vista Ave, Richmond, CA 94801-4026 | 2012-01-13 |
| 1619184645 | Sitter-barfoot Veterans Care Center | Skilled Nursing Facility | 1601 Broad Rock Blvd, Richmond, VA 23224 | 2007-05-17 |
| 1245454677 | The Laurels of Bon Air, LLC | Skilled Nursing Facility | 9101 Bon Air Crossings Drive, Richmond, VA 23235 | 2007-04-13 |
| 1528189008 | Oakbend Medical Center | Skilled Nursing Facility | 2127 Preston St, Richmond, TX 77469-1418 | 2007-04-03 |
| 1467590562 | Heritage House of Richmond | Skilled Nursing Facility | 2070 Chester Blvd, Richmond, IN 47374-1215 | 2007-02-01 |
| 1093875221 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2050 Chester Blvd, Richmond, IN 47374 | 2006-12-11 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.