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CRESTWOOD NURSING AND CONVALESCENT HOME INC
NPI 1205822517
Skilled Nursing Facility in Warren, RI

Active since September 22, 2005CLIA 41D0894711 · Waiver
3/5
Overall Rating
568 CHILD ST, WARREN, RI 02885(401) 245-1574(401) 247-0211 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crestwood Nursing And Convalescent Home Inc NPPES

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

CRESTWOOD NURSING AND CONVALESCENT HOME INC (NPI 1205822517) is a healthcare organization registered as a skilled nursing facility in Warren, Rhode Island and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists Gary M Minassian, Administrator, as its authorized official.

NPPES Registry Identity

NPI1205822517
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCRESTWOOD NURSING AND CONVALESCENT HOME INC
Location Address568 CHILD STWarren, RI 02885-1734
Mailing Address568 Child StWarren, RI 02885-1734 · (401) 245-1574 · Fax (401) 247-0211
Phone(401) 245-1574
Fax(401) 247-0211
Organization SubpartNo
Authorized OfficialGary M MinassianAdministrator · (401) 245-1574
Enumeration DateSeptember 22, 2005
Last NPPES UpdateOctober 19, 2015
✔ NPI 1205822517 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 RI · 628
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.
568 CHILD ST, Warren, RI 02885
Open in Google Maps ↗

Other Identifiers 2

Medicaid628RI
Medicare ID-Type Unspecified415070RI · Medicare #

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 41D0894711

Crestwood Nursing & Convalescent Home · Warren, RI
Active · expires Nov 20, 2026
CLIA Number41D0894711
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorErin Hebert
Laboratory Phone(401) 245-1574
Laboratory LocationCrestwood Nursing & Convalescent Home568 Child Street, Warren, RI 02885
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Crestwood Nursing & Rehabilitation Center, Inc (CMS certification number 415070), from CMS Care Compare.

Crestwood Nursing & Rehabilitation Center, Inc

Nursing home · Warren, RI
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number415070
Certified Beds76 beds62 residents per day on average
Medicare & Medicaid Participant SinceMarch 1, 1980
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
61.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.59 · LPN 0.19 · RN 0.8
3.59 hrs per resident per day
Weekend Nurse Staffing
3 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
26.2%
Registered Nurse Turnover
35.7%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Infection-Control Citations
0
Fines
1 totaling $216,645.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

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

CRESTWOOD HEALTHCARE LLC
Skilled Nursing Facility
568 CHILD ST
WARREN, RI 02885
Bristol County (401) 245-1574

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 Nursing And Convalescent Home Inc's NPI number?

The NPI number for Crestwood Nursing And Convalescent Home Inc is 1205822517. It was assigned to this organization in the NPPES registry on September 22, 2005.

Where is Crestwood Nursing And Convalescent Home Inc located?

Crestwood Nursing And Convalescent Home Inc is located at 568 Child St, Warren, RI 02885. The listed phone number is (401) 245-1574.

What is Crestwood Nursing And Convalescent Home Inc's specialty?

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

Does Crestwood Nursing And Convalescent Home Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0894711) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Crestwood Nursing And Convalescent Home Inc a Medicare-certified nursing home?

Yes. Crestwood Nursing & Rehabilitation Center, Inc is a Medicare-certified nursing home with 76 certified beds.

What quality rating does Crestwood Nursing And Convalescent Home Inc have?

CMS rates Crestwood Nursing & Rehabilitation Center, Inc 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Crestwood Nursing And Convalescent Home Inc was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.