EDEN SPECIALTY CARE
NPI 1619967932
Skilled Nursing Facility in Longview, TX

Active since October 27, 2005
1301 EDEN DR, LONGVIEW, TX 75605(903) 753-7651(903) 758-8942 Get Directions Write a Review

NPPES record last updated: July 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eden Specialty Care NPPES

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

EDEN SPECIALTY CARE (NPI 1619967932) is a healthcare organization registered as a skilled nursing facility in Longview, Texas and active in the NPI registry since October 2005. The organization lists Leroy Williams, President, as its authorized official.

NPPES Registry Identity

NPI1619967932
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCRESTCARE NURSING & REHABILITATION CENTER
Location Address1301 EDEN DRLongview, TX 75605-4102
Mailing Address1301 Eden DrLongview, TX 75605-4102 · (903) 753-7651 · Fax (903) 758-8942
Fax(903) 758-8942
Organization SubpartNo
Authorized OfficialLeroy WilliamsPresident · (281) 574-7495
Enumeration DateOctober 27, 2005
Last NPPES UpdateJuly 2, 2013
NPI 1619967932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 110571
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.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 110571 (TX)
Also ListedRespite CareTaxonomy 385H00000X · License 110571 (TX)
1301 EDEN DR, Longview, TX 75605

Other Names 1

Doing Business AsEden Specialty Care

Other Identifiers 4

Medicare NSC5028780001TX
Medicaid001003848TX
Medicare OSCAR/certification455664TX
Medicaid1668709-01TX

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.

Physical Therapy Assistant
1301 EDEN DR
LONGVIEW, TX 75605
Occupational Therapist
1301 EDEN DR
LONGVIEW, TX 75605
Occupational Therapy Assistant
1301 EDEN DR
LONGVIEW, TX 75605
Speech-Language Pathologist
1301 EDEN DR
LONGVIEW, TX 75605

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 Crestcare Nursing & Rehabilitation Center's NPI number?

The NPI number for Crestcare Nursing & Rehabilitation Center is 1619967932. It was assigned to this organization in the NPPES registry on October 27, 2005. The provider is doing business as Eden Specialty Care.

Where is Crestcare Nursing & Rehabilitation Center located?

Crestcare Nursing & Rehabilitation Center is located at 1301 Eden Dr, Longview, TX 75605. The listed phone number is (903) 753-7651.

What is Crestcare Nursing & Rehabilitation Center'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 Crestcare Nursing & Rehabilitation Center was last updated on July 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.