Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CRESTWATER HEALTH AND REHAB COCONUT CREEK, LLC
NPI 1295639276
Skilled Nursing Facility in Coconut Creek, FL

Active since October 05, 2026
4125 W SAMPLE RD, COCONUT CREEK, FL 33073(954) 968-8333 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Crestwater Health And Rehab Coconut Creek, Llc NPPES

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

CRESTWATER HEALTH AND REHAB COCONUT CREEK, LLC (NPI 1295639276) is a healthcare organization registered as a skilled nursing facility in Coconut Creek, Florida and active in the NPI registry since October 2026. The organization lists Shaire Cunningham, Administrator, as its authorized official.

NPPES Registry Identity

NPI1295639276
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCRESTWATER HEALTH AND REHAB COCONUT CREEK, LLC
Location Address4125 W SAMPLE RDCoconut Creek, FL 33073-4456
Mailing Address4125 W Sample RdCoconut Creek, FL 33073-4456
Organization SubpartNo
Authorized OfficialShaire CunninghamAdministrator · (954) 968-8333
Enumeration DateOctober 5, 2026
NPPES CertifiedOctober 5, 2026
✔ NPI 1295639276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
4125 W SAMPLE RD, Coconut Creek, FL 33073

Other Providers at the Same Location NPPES 7

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

Internal Medicine
4125 W SAMPLE RD
COCONUT CREEK, FL 33073
Physical Medicine & Rehabilitation
4125 W SAMPLE RD
COCONUT CREEK, FL 33073
Speech-Language Pathologist
4125 W SAMPLE RD
COCONUT CREEK, FL 33073
Skilled Nursing Facility
4125 W SAMPLE RD
COCONUT CREEK, FL 33073
Skilled Nursing Facility
4125 W SAMPLE RD
COCONUT CREEK, FL 33073
Occupational Therapist
4125 W SAMPLE RD
COCONUT CREEK, FL 33073
Speech-Language Pathologist
4125 W SAMPLE RD
COCONUT CREEK, FL 33073

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 Crestwater Health And Rehab Coconut Creek, LLC's NPI number?

The NPI number for Crestwater Health And Rehab Coconut Creek, LLC is 1295639276. It was assigned to this organization in the NPPES registry on October 5, 2026.

Where is Crestwater Health And Rehab Coconut Creek, LLC located?

Crestwater Health And Rehab Coconut Creek, LLC is located at 4125 W Sample Rd, Coconut Creek, FL 33073. The listed phone number is (954) 968-8333.

What is Crestwater Health And Rehab Coconut Creek, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Crestwater Health And Rehab Coconut Creek, LLC was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.