CRESTVIEW NURSING, LLC (NPI# 1245343706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245343706 |
| Entity Type | Organization |
| Organization Name | CRESTVIEW NURSING, LLC |
| Other Organization Name | CRESTVIEW CENTER |
| Practice Address |
1871 Midland Trl Shelbyville KY 40065-9111 |
| Mailing Address |
101 Sun Ave Ne Compliance Department Albuquerque NM 87109-4373 |
| Practice Telephone | 5025893573 |
| Practice Fax Number | 5026337890 |
| Mailing Telephone | 5054685604 |
| Mailing Fax Number | 5054684681 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | MICHAEL BERG (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5054684742 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNBRIDGE HEALTHCARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 100383 | KY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 12504890 | 05 |
| Other Name | Type Code |
|---|---|
| Crestview Care and Rehabilitation Center | Doing Business As Name - Organization |
| Crestview Center | Doing Business As Name - Organization |
| Street Address |
1871 MIDLAND TRL |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-9111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747003 | Crystal Amyx | Physical Therapy Assistant | 1871 Midland Trl, Shelbyville, KY 40065-9111 | 2019-12-19 |
| 1013488956 | Alyson K Woodyard | Speech-Language Pathologist | 1871 Midland Trl, Shelbyville, KY 40065-9111 | 2018-12-17 |
| 1487164075 | Kathy Jude Vost | Physical Therapy Assistant | 1871 Midland Trl, Shelbyville, KY 40065-9111 | 2017-10-09 |
| 1578984381 | Wendell Bentley | Physical Therapy Assistant | 1871 Midland Trl, Shelbyville, KY 40065-9111 | 2013-12-20 |
| 1215362041 | Nicole Jentz | Speech-Language Pathologist | 1871 Midland Trl, Shelbyville, KY 40065-9111 | 2013-09-11 |
| 1730513284 | Carla Ryan Larkin | Speech-Language Pathologist | 1871 Midland Trl, Shelbyville, KY 40065-9111 | 2013-09-01 |
| 1053676767 | Kathleen Snider Craigmyle | Physical Therapy Assistant | 1871 Midland Trl, Shelbyville, KY 40065-9111 | 2012-07-09 |
| 1366706178 | Cindy Lynn Bayes | Occupational Therapy Assistant | 1871 Midland Trl, Shelbyville, KY 40065-9111 | 2012-06-26 |
| 1275897084 | Penny Marie Smith | Physical Therapy Assistant | 1871 Midland Trl, Shelbyville, KY 40065-9111 | 2012-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| 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 |
|---|---|---|---|---|
| 1629222633 | Petersen Health Operations | Skilled Nursing Facility | 2116 W South 3rd St, Shelbyville, IL 62565-9102 | 2008-11-05 |
| 1871794222 | Glen Oaks, LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160 | 2007-05-31 |
| 1811007370 | Bedford County Nursing Home | Skilled Nursing Facility | 835 Union St, Shelbyville, TN 37160-2607 | 2006-08-30 |
| 1912015058 | Hancock Regional Hospital | Skilled Nursing Facility | 2200 N Riley Hwy, Shelbyville, IN 46176-9465 | 2006-08-28 |
| 1669495131 | Masonic Homes of Kentucky Inc | Skilled Nursing Facility | 711 Frankfort Rd, Shelbyville, KY 40065-9447 | 2006-07-25 |
| 1518990704 | Shelbyville Hco, LLC | Skilled Nursing Facility | 2116 South 3rd Street, Shelbyville, IL 62565 | 2006-07-09 |
| 1770538290 | Glen Oaks Convalescent Center | Skilled Nursing Facility | 1101 Glen Oaks Road, Shelbyville, TN 37160 | 2006-05-23 |
| 1851387260 | Unlimited Development, Inc | Skilled Nursing Facility | 1111 West North 12th St, Shelbyville, IL 62565-9554 | 2005-09-21 |
| 1912530189 | Shelbyville Hco, LLC | Skilled Nursing Facility | 2116 W South 3rd St, Shelbyville, IL 62565-9102 | 2020-02-17 |
| 1679116370 | Glen Oaks Healthcare LLC | Skilled Nursing Facility | 1101 Glenoaks Rd, Shelbyville, TN 37160 | 2019-10-25 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
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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.