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CRESTWOOD BEHAVIORAL HEALTH INC. NPI 1356411656


NPI Information

NPI: 1356411656
Provider Name: CRESTWOOD BEHAVIORAL HEALTH, INC.

Doing Business As: CRESTWOOD CENTER

Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization

CLIA Number: 05D0687974

Address:
2600 STOCKTON BLVD
SACRAMENTO, CA
ZIP 95817
Phone: (916) 452-1431
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CRESTWOOD BEHAVIORAL HEALTH, INC. is an intermediate care facility mental illness in Sacramento, CA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. CRESTWOOD BEHAVIORAL HEALTH, INC. NPI is 1356411656. The provider is registered as an organization entity type.
The provider Is Doing Business As Crestwood Center.

The provider's business location address is:

2600 STOCKTON BLVD
SACRAMENTO, CA
ZIP 95817-210
Phone: (916) 452-1431
Fax: (916) 452-2895

The provider's authorized official is Lori Blackburn .
The authorized official title is Vice President and has the following contact phone number (209) 955-2322.

The CLIA number assigned to this NPI record is 05D0687974 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 5/19/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310500000XIntermediate Care Facility, Mental Illness02099029CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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