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CRESTWOOD BEHAVIORAL HEALTH, INC.
NPI 1528822343
Intermediate Care Facility, Mental Illness in Redwood City, CA

Active since February 12, 2024
280 EDMONDS ROAD, BLDG B, REDWOOD CITY, CA 94062(209) 955-2364(209) 671-1520 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crestwood Behavioral Health, Inc. NPPES

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

CRESTWOOD BEHAVIORAL HEALTH, INC. (NPI 1528822343), doing business as Cordilleras Health & Healing Ponderosa House, is a healthcare organization registered as an intermediate care facility, mental illness in Redwood City, California and active in the NPI registry since February 2024. The organization lists Michelle Smith, Executive Director Ar Reimb., as its authorized official.

NPPES Registry Identity

NPI1528822343
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameCRESTWOOD BEHAVIORAL HEALTH, INC.
Location Address280 EDMONDS ROAD, BLDG BRedwood City, CA 94062
Mailing Address7590 Shoreline DrStockton, CA 95219-5455 · (209) 955-2316 · Fax (209) 671-1520
Phone(209) 955-2364
Fax(209) 671-1520
Organization SubpartYesParent: Crestwood Behavioral Health,inc.
Authorized OfficialMichelle SmithExecutive Director Ar Reimb. · (209) 955-2364
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 9, 2024
✔ NPI 1528822343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
280 EDMONDS ROAD, BLDG B, Redwood City, CA 94062
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Other Names 1

Doing Business AsCordilleras Health & Healing Ponderosa House

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 1528822343. It was assigned to this organization in the NPPES registry on February 12, 2024. The provider is doing business as Cordilleras Health & Healing Ponderosa House.

Where is Crestwood Behavioral Health, Inc. located?

Crestwood Behavioral Health, Inc. is located at 280 Edmonds Road, Bldg B, Redwood City, CA 94062. The listed phone number is (209) 955-2364.

What is Crestwood Behavioral Health, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for Crestwood Behavioral Health, Inc. was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.