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Contact Information

CRESTVIEW HEALTH CARE AND REHABILITATION LLC
704 DUPREE RD
BROWNSVILLE, TN38012
 Phone: 731-772-3356
 Fax: 731-772-1653
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for CRESTVIEW HEALTH CARE AND REHABILITATION LLC

NPI # 1972568749
LBN Legal business name CRESTVIEW HEALTH CARE AND REHABILITATION LLC
Authorized official ROBIN BRADLEY - (SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/17/2006
Last updated 05/03/2021 - About 5 years ago
Identifiers
TN License # 0000000122
TN License # 0122
TN Medicaid 744-0358
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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