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CRESTMONT NORTH NURSING HOME
NPI 1487656773
Nursing Facility/Intermediate Care Facility in Lakewood, OH

Active since June 01, 2005CLIA 36D0929858 · Waiver
3/5
Overall Rating
13330 DETROIT AVE, LAKEWOOD, OH 44107(216) 228-9550(216) 521-2193 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crestmont North Nursing Home NPPES

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

CRESTMONT NORTH NURSING HOME (NPI 1487656773) is a healthcare organization registered as a nursing facility/intermediate care facility in Lakewood, Ohio and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Elias J Coury, Owner, as its authorized official.

NPPES Registry Identity

NPI1487656773
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameCRESTMONT NURSING HOME NORTH CORP.
Location Address13330 DETROIT AVELakewood, OH 44107-2850
Mailing Address13330 Detroit AveLakewood, OH 44107-2850 · (216) 539-7846 · Fax (216) 521-1212
Phone(216) 228-9550
Fax(216) 521-2193
Organization SubpartNo
Authorized OfficialElias J CouryOwner · (216) 539-7846
Enumeration DateJune 1, 2005
Last NPPES UpdateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
✔ NPI 1487656773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in OH · 4284
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.
13330 DETROIT AVE, Lakewood, OH 44107
Open in Google Maps ↗

Other Names 1

Doing Business AsCrestmont North Nursing Home

Other Identifiers 1

Medicaid0880793OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 36D0929858

Crestmont Nursing Home North Corp Dba Crestmont North Nursing Home · Lakewood, OH
Active · expires Jun 24, 2027
CLIA Number36D0929858
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorElias J. Coury
Laboratory Phone(216) 228-9550
Laboratory LocationCrestmont Nursing Home North Corp Dba Crestmont North Nursing Home13330 Detroit Avenue, Lakewood, OH 44107
CLIA data matches this NPI record on: Address Name 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 Crestmont North Nursing Home (CMS certification number 365875), from CMS Care Compare.

Crestmont North Nursing Home

Nursing home · Lakewood, OH
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number365875
Certified Beds71 beds60 residents per day on average
Medicare & Medicaid Participant SinceMay 22, 1992
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
72.67
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 1.81 · LPN 0.87 · RN 0.44
3.12 hrs per resident per day
Weekend Nurse Staffing
2.74 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.
44.4%
Registered Nurse Turnover
37.5%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
5
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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 7

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

CHRISTINA GAREAU LPCC
Counselor (Professional)
13330 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (440) 822-9525
MRS. KELLY ELIZABETH FELDER LISW-S
Social Worker
13330 DETROIT AVE
CLEVELAND, OH 44107
Cuyahoga County (216) 228-9550
EZRA WARREN
Physical Therapy Assistant
13330 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (216) 228-9550
REBECCA E BERRY LICDC, LSW
Counselor (Addiction (Substance Use Disorder))
13330 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (440) 821-5820
TRANQUILITY COUNSELING SERVICES LLC
Counselor (Mental Health)
13330 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (440) 821-5820
TRANQUILITY COUNSELING SERVICES LLC
Counselor (Professional)
13330 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (440) 821-5820
CRESTMONT NURSING HOME NORTH CORP
Clinical Medical Laboratory
13330 DETROIT AVE
LAKEWOOD, OH 44107
Cuyahoga County (216) 228-9550

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 Crestmont Nursing Home North Corp.'s NPI number?

The NPI number for Crestmont Nursing Home North Corp. is 1487656773. It was assigned to this organization in the NPPES registry on June 1, 2005. The provider is doing business as Crestmont North Nursing Home.

Where is Crestmont Nursing Home North Corp. located?

Crestmont Nursing Home North Corp. is located at 13330 Detroit Ave, Lakewood, OH 44107. The listed phone number is (216) 228-9550.

What is Crestmont Nursing Home North Corp.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Crestmont Nursing Home North Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0929858) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Crestmont Nursing Home North Corp. a Medicare-certified nursing home?

Yes. Crestmont North Nursing Home is a Medicare-certified nursing home with 71 certified beds.

What quality rating does Crestmont Nursing Home North Corp. have?

CMS rates Crestmont North Nursing Home 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Crestmont Nursing Home North Corp. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Crestmont Nursing Home North Corp. 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 Crestmont Nursing Home North Corp. was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.