CRESTMONT HEALTHCARE CENTER
NPI 1124061353
Skilled Nursing Facility in Fenton, MI

Active since June 14, 2006
111 TREALOUT DR, FENTON, MI 48430(810) 629-4105(810) 629-7538 Get Directions Write a Review

NPPES record last updated: April 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crestmont Healthcare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESTMONT HEALTHCARE CENTER (NPI 1124061353) is a healthcare organization registered as a skilled nursing facility in Fenton, Michigan and active in the NPI registry since June 2006. The organization lists Kelle C Santoro, Sr Director Ar, as its authorized official.

NPPES Registry Identity

NPI1124061353
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSSC FENTON OPERATING COMPANY LLC
Location Address111 TREALOUT DRFenton, MI 48430-1481
Mailing Address5300 W Sam Houston Pkwy N, Suite 100Houston, TX 77041-5161 · (832) 467-6000
Fax(810) 629-7538
Organization SubpartNo
Authorized OfficialKelle C SantoroSr Director Ar · (832) 467-5728
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 10, 2015
NPI 1124061353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MI · 254210
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
111 TREALOUT DR, Fenton, MI 48430

Other Names 1

Doing Business AsCrestmont Healthcare Center

Other Identifiers 2

Medicare OSCAR/certification235348MI
Medicaid4882204MI

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
111 TREALOUT DR
FENTON, MI 48430
Psychiatry & Neurology (Geriatric Psychiatry)
111 TREALOUT DR
FENTON, MI 48430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ssc Fenton Operating Company LLC's NPI number?

The NPI number for Ssc Fenton Operating Company LLC is 1124061353. It was assigned to this organization in the NPPES registry on June 14, 2006. The provider is doing business as Crestmont Healthcare Center.

Where is Ssc Fenton Operating Company LLC located?

Ssc Fenton Operating Company LLC is located at 111 Trealout Dr, Fenton, MI 48430. The listed phone number is (810) 629-4105.

What is Ssc Fenton Operating Company LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

What insurance does Ssc Fenton Operating Company LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and McLaren Health Plan Community list Ssc Fenton Operating Company LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ssc Fenton Operating Company LLC was last updated on April 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.