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Crestmont Nursing Home North Corp.
Nursing Facility/Intermediate Care Facility in Lakewood, Ohio
NPI 1487656773

Crestmont Nursing Home North Corp. is a Nursing Facility/Intermediate Care Facility based in Lakewood, OH. Crestmont Nursing Home North Corp. practices in Lakewood, OH. The NPI Number for Crestmont Nursing Home North Corp. is 1487656773 and holds a License No. 4284 (Ohio).

The current practice location address for Crestmont Nursing Home North Corp. is 13330 Detroit Ave, Lakewood, OH and can be reached out via phone at 216-228-9550 and via fax at 216-521-2193. You can also correspond with Crestmont Nursing Home North Corp. through the mailing address at 13330 DETROIT AVE, LAKEWOOD, OH - 44107-2850 (mailing address contact number: 216-539-7846).

Location: 13330 Detroit Ave, Lakewood, OH, 44107-2850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487656773
Provider Name
Crestmont Nursing Home North Corp.
Credential
Provider Entity Type
Organization
Address
13330 Detroit Ave, Lakewood, OH, 44107-2850
Phone Number
216-228-9550
Fax Number
216-521-2193
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0880793 05 OH
institution
Provider Business Practice Location Address Details
Address
13330 Detroit Ave
City
Lakewood
State
Ohio
Zip
44107-2850
Phone Number
216-228-9550
Fax Number
216-521-2193
person
Provider Business Mailing Address Details
Address
13330 Detroit Ave
City
Lakewood
State
Ohio
Zip
44107-2850
Phone Number
216-539-7846
Fax Number
216-521-1212
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
4284 (Ohio)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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