CRESTWOOD HEALTH CARE CENTER INC (NPI# 1962507822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962507822 |
| Entity Type | Organization |
| Organization Name | CRESTWOOD HEALTH CARE CENTER INC |
| Other Organization Name | CRESTWOOD HCC PHARMACY |
| Practice Address |
2600 Niagara Falls Blvd Niagara Falls NY 14304-4560 |
| Mailing Address |
1142 Wehrle Dr Williamsville NY 14221-7748 |
| Practice Telephone | 7162158000 |
| Practice Fax Number | 7166313097 |
| Mailing Telephone | 7166313381 |
| Mailing Fax Number | 7166318732 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2010-04-23 |
| Authorized Official Name | MARK LUDWIG (DIRECTOR) |
| Authorized Official Telephone | 7166313381 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
025365 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3327865 | 01 |
| Other Name | Type Code |
|---|---|
| CRESTWOOD HCC PHARMACY | Doing Business As Name - Organization |
| Street Address |
2600 NIAGARA FALLS BLVD |
| City | NIAGARA FALLS |
| State | NY |
| Zip Code | 14304-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213471 | Crestwood Health Care Center Inc. | Skilled Nursing Facility | 2600 Niagara Falls Blvd, Niagara Falls, NY 14304-4560 | 2005-08-23 |
| 1003433855 | Karla Rodriguez | Physical Therapist | 2600 Niagara Falls Blvd, Niagara Falls, NY 14304-4560 | 2020-06-28 |
| 1962966507 | Christina Elizabeth Castricone | Speech-Language Pathologist | 2600 Niagara Falls Blvd, Niagara Falls, NY 14304-4560 | 2019-01-28 |
| 1659451847 | Suburban Adult Medical Services Pllc | Family Medicine | 2600 Niagara Falls Blvd, Niagara Falls, NY 14304-4560 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903963 | Joel Nelson | Chiropractor | 2119 Sawyer Dr., Niagara Falls, NY 14304 | 2019-10-17 |
| 1992299002 | Jessica Lyn Luh | Speech-Language Pathologist | 2639 Niagara Rd, Niagara Falls, NY 14304 | 2018-06-21 |
| 1508275926 | Daniel Ivers Norton | Social Worker | 2510 Kirkbridge Dr., Bldg. 803 Rm 121, Niagara Falls, NY 14304 | 2014-08-11 |
| 1033533997 | Denise Charmaine Sawyer-winkfield | Licensed Practical Nurse | 9701 Niagara Falls Blvd Suite 1f, Aftercare Nursing Services, Niagara Falls, NY 14304 | 2014-02-13 |
| 1255769204 | Timothy Roy Bronson | Counselor | 8610 Buffalo Avenue, Niagara Falls, NY 14304 | 2013-10-29 |
| 1679825202 | Brandon Winder | Hearing Instrument Specialist | 6989 Williams Rd., Niagara Falls, NY 14304 | 2012-10-05 |
| 1952652174 | Michelle Jean Barrons | Registered Nurse | 8431 Girard Ave, Niagara Falls, NY 14304 | 2012-09-27 |
| 1285983379 | Nicole Lee Hobbs | Physical Therapist | 2111 Sawyer Dr., Niagara Falls, NY 14304 | 2012-09-05 |
| 1962712513 | Karen Marie Krug | Registered Nurse | 434 72nd Street, Niagara Falls, NY 14304 | 2010-10-18 |
| 1760626550 | Sadaf Islam | Psychiatry & Neurology | 1623 Military Road, Niagara Falls, NY 14304 | 2009-04-24 |
| Find all providers in zip 14304 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1811409451 | Monsey Family Drugstore LLC | Pharmacy | 108 B Route 59, Monsey, NY 10952 | 2017-11-03 |
| 1215448857 | Crestwood Health Inc | Pharmacy | 26 Picotte Dr, Albany, NY 12208-1710 | 2017-10-23 |
| 1205353315 | Carepax LLC | Pharmacy | 382 Route 59 Ste 276, Airmont, NY 10952-3422 | 2017-08-29 |
| Find all providers with the same taxonomy | ||||
| City | NIAGARA FALLS |
| Zip Code | 14304 |
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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.