CRESTHAVEN EAST LLC (NPI# 1013001817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013001817 |
| Entity Type | Organization |
| Organization Name | CRESTHAVEN EAST LLC |
| Other Organization Name | CRESTHAVEN EAST |
| Practice Address |
5100 Cresthaven Blvd West Palm Beach FL 33415-8618 |
| Practice Telephone | 5619642828 |
| Practice Fax Number | 5613575838 |
| Mailing Telephone | 5619642828 |
| Mailing Fax Number | 5613575838 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MORTON J GELBERD (PRESIDENT MANAGING MEMBER) |
| Authorized Official Telephone | 5619642828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 04769 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Cresthaven East | Former Legal Business Name - Organization |
| Street Address |
5100 CRESTHAVEN BLVD |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33415-8618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891326799 | Steven Harren | Physical Therapy Assistant | 5100 Cresthaven Blvd, West Palm Beach, FL 33415-8618 | 2020-01-29 |
| 1033757075 | Gabriela Blanco Alorda | Physical Therapist | 5100 Cresthaven Blvd, West Palm Beach, FL 33415-8618 | 2019-12-19 |
| 1528618790 | Elizabeth Rice | Physical Therapist | 5100 Cresthaven Blvd, West Palm Beach, FL 33415-8618 | 2019-09-18 |
| 1891342648 | Lana Codallo | Occupational Therapy Assistant | 5100 Cresthaven Blvd, West Palm Beach, FL 33415-8618 | 2019-08-26 |
| 1437706637 | Emily Harrison | Occupational Therapist | 5100 Cresthaven Blvd, West Palm Beach, FL 33415-8618 | 2019-08-22 |
| 1184271769 | Tammy Lynn Lepottry | Physical Therapy Assistant | 5100 Cresthaven Blvd, West Palm Beach, FL 33415-8618 | 2019-08-20 |
| 1174177430 | Ymp Crest Opco LLC | Assisted Living Facility | 5100 Cresthaven Blvd, West Palm Beach, FL 33415-8618 | 2019-07-25 |
| 1295247880 | Micah Cecchetti | Physical Therapy Assistant | 5100 Cresthaven Blvd, West Palm Beach, FL 33415-8618 | 2017-11-03 |
| 1356852560 | Sandy M Pruneti | Speech-Language Pathologist | 5100 Cresthaven Blvd, West Palm Beach, FL 33415-8618 | 2017-10-14 |
| 1497285449 | Michelle Darleen Brooks | Physical Therapy Assistant | 5100 Cresthaven Blvd, West Palm Beach, FL 33415-8618 | 2017-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670613 | Briana Howard | Social Worker | 631-sea Pine Way F2, Greenacres, FL 33415 | 2020-02-05 |
| 1023648821 | Belen Home Care | Assisted Living Facility | 4584 Sutton Terra South, West Palm Beach, FL 33415 | 2020-01-21 |
| 1013556315 | Titan Chiropractic & Rehab | Chiropractor | 655 N Military Trail Ste 9, West Palm Beach, FL 33415 | 2020-01-03 |
| 1467006916 | Bradley Martin | Student in an Organized Health Care Education/Training Program | 5189 Pine Abbey Drive South, West Palm Beach, FL 33415 | 2019-08-01 |
| 1508370131 | Lisa Palmieri | Physical Therapist | 5056 Wallis Rd, West Palm Beach, FL 33415 | 2017-11-17 |
| 1093233637 | Anay Piloto Garcia | Behavior Technician | 1851 W Chatham Rd, West Palm Beach, FL 33415 | 2017-09-05 |
| 1356897631 | Leida C Alarcon | Technician, Other | 2221 White Pine Cir Apt D, Greenacres, FL 33415 | 2016-08-28 |
| 1689061996 | Antonio Cruz | Physical Therapy Assistant | 2939 S Haverhill Road, Wpb, FL 33415 | 2015-04-24 |
| 1780019034 | Michele Thune | Nurse Practitioner | 942 Scott Dr, West Palm Beach, FL 33415 | 2013-09-05 |
| 1780017657 | Genesis Rehab Services | Skilled Nursing Facility | 6414 13th Rd. South, Woodlake, West Palm Beach, FL 33415 | 2013-08-15 |
| Find all providers in zip 33415 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675174 | New Vision Healthcare System, LLC | Assisted Living Facility | 4740 Portofino Way Apt 309, West Palm Beach, FL 33409-8181 | 2020-03-23 |
| 1023648821 | Belen Home Care | Assisted Living Facility | 4584 Sutton Terra South, West Palm Beach, FL 33415 | 2020-01-21 |
| 1245872340 | Family Home Care, Inc | Assisted Living Facility | 2328 Lewis Rd, West Palm Beach, FL 33415-7130 | 2019-10-10 |
| 1447807649 | Snh Fla Tenant LLC | Assisted Living Facility | 145 Executive Center Dr, West Palm Beach, FL 33401-5080 | 2019-08-22 |
| 1811541956 | Rhoenna E. Campbell-robinson | Assisted Living Facility | 2083 Florida Mango Rd, West Palm Beach, FL 33406-7724 | 2019-07-26 |
| 1386298735 | Jacqueline Sneed | Assisted Living Facility | 3621 Aralia Ct, West Palm Beach, FL 33406-5637 | 2019-07-24 |
| 1760950885 | Gloria Sajilus | Assisted Living Facility | 5034 Kathy Ln, West Palm Beach, FL 33415-2740 | 2018-11-06 |
| 1487141651 | Amazing Grace Assisted Living Home II LLC | Assisted Living Facility | 2257 Edgewater Dr, West Palm Beach, FL 33406-8711 | 2018-04-13 |
| 1689178337 | Elfbra One Investment, LLC | Assisted Living Facility | 2939 S Haverhill Rd Unit B, West Palm Beach, FL 33415-8118 | 2018-03-19 |
| 1386151405 | Mi Casitas Alf LLC | Assisted Living Facility | 313 N Sapodilla Ave, West Palm Beach, FL 33401-3340 | 2018-01-10 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33415 |
Please comment or provide details below to improve the information on CRESTHAVEN EAST LLC.
| 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.