CRESTWOOD MANOR
NPI 1144390964
Long Term Care Hospital in Vallejo, CA

Active since November 09, 2006CLIA 05D2284452 · Waiver
115 ODDSTAD DR, VALLEJO, CA 94589(707) 552-0215(707) 553-2161 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crestwood Manor NPPES

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

CRESTWOOD MANOR (NPI 1144390964) is a healthcare organization registered as a long term care hospital in Vallejo, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through June 21, 2027 and lists Michelle Smith, Executive Director Ar And Reimb., as its authorized official.

NPPES Registry Identity

NPI1144390964
Entity TypeOrganization
Primary Taxonomy282E00000X
Legal Business NameCRESTWOOD BEHAVIORAL HEALTH INC.
Location Address115 ODDSTAD DRVallejo, CA 94589-2520
Mailing Address115 Oddstad DrVallejo, CA 94589-2520 · (707) 552-0215 · Fax (707) 553-2161
Fax(707) 553-2161
Organization SubpartNo
Authorized OfficialMichelle SmithExecutive Director Ar And Reimb. · (209) 955-2364
Enumeration DateNovember 9, 2006
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
NPI 1144390964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLong Term Care HospitalHospitals
Taxonomy Code282E00000X
License Licensed in CA · 110000044
Definition

Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

115 ODDSTAD DR, Vallejo, CA 94589

Other Names 1

Doing Business AsCrestwood Manor

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2284452

Crestwood Behavioral Health Inc. - Solano Phf · Vallejo, CA
Active · expires Jun 21, 2027
CLIA Number05D2284452
Laboratory TypeMental Health Psychiatric
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorDr Macmorran
Laboratory Phone(707) 234-2222
Laboratory LocationCrestwood Behavioral Health Inc. - Solano Phf2201 Tuolumne St, Vallejo, CA 94589
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Intermediate Care Facility, Mental Illness
115 ODDSTAD DR
VALLEJO, CA 94589
Psychiatry & Neurology (Psychiatry)
115 ODDSTAD DR
VALLEJO, CA 94589
Skilled Nursing Facility
115 ODDSTAD DR
VALLEJO, CA 94589
Community Based Residential Treatment Facility, Mental Illness
115 ODDSTAD DR
VALLEJO, CA 94589

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 Crestwood Behavioral Health Inc.'s NPI number?

The NPI number for Crestwood Behavioral Health Inc. is 1144390964. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Crestwood Manor.

Where is Crestwood Behavioral Health Inc. located?

Crestwood Behavioral Health Inc. is located at 115 Oddstad Dr, Vallejo, CA 94589. The listed phone number is (707) 552-0215.

What is Crestwood Behavioral Health Inc.'s specialty?

The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.

Does Crestwood Behavioral Health Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2284452) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crestwood Behavioral Health Inc. was last updated on November 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.