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WILLOW CREST INC. NPI 1316005234


NPI Information

NPI: 1316005234
Provider Name: WILLOW CREST, INC.

Doing Business As: CRESTVIEW MANOR, INC.

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1410 E. BUENA VENTURA ST.
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 473-6339
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WILLOW CREST, INC. is an assisted living facility in Colorado Springs, CO. The provider is 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. WILLOW CREST, INC. NPI is 1316005234. The provider is registered as an organization entity type.
The provider Is Doing Business As Crestview Manor, Inc..

The provider's business location address is:

1410 E. BUENA VENTURA ST.
COLORADO SPRINGS, CO
ZIP 80909-825
Phone: (719) 473-6339
Fax: (719) 448-9301

The provider's authorized official is Karl D. Schmidt .
The authorized official title is Pesident and has the following contact phone number (719) 473-6339.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/22/2020.


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
1310400000XAssisted Living FacilityAL-0908COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104141545MEDICAIDCOLORADO

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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