CRESTWOOD HEALTH & REHABILITATION CENTER
NPI 1629476916
Skilled Nursing Facility in Port Angeles, WA
NPI Status: Active since December 18, 2014
Contact Information
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
Phone: (360) 452-9206
Fax: (360) 457-2935
- Organization
- Skilled Nursing Facility
About CRESTWOOD HEALTH & REHABILITATION CENTER
This page provides the complete NPI Profile along with additional information for Crestwood Health & Rehabilitation Center, a provider established in Port Angeles, Washington operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1629476916 assigned on December 2014. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Crestwood Health & Rehabilitation Center. The authorized official of this NPI record is David C. Keating (Agent)
- NPI
- 1629476916
- Provider Legal Name
- FMG EAST LAURIDSEN BOULEVARD WASHINGTON LLC
- Other Organization Name
- CRESTWOOD HEALTH & REHABILITATION CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1116 E LAURIDSEN BLVD PORT ANGELES, WA 98362
- Location Phone
- (360) 452-9206
- Location Fax
- (360) 457-2935
- Mailing Address
- 5001 WEST LEMON STREET C/O FOCUS MANAGEMENT GROUP TAMPA, FL 33609
- Mailing Phone
- (813) 281-0062
- Mailing Fax
- (360) 457-2935
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-18-2014
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 2 | 9 | 4 | 7 | 6 | 9 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 8 | 7 | 12 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 8 + 7 + 1 + 2 + 9 + 2 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1629476916 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MS. AMBER HAN MEN
Occupational Therapist
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
CHAD J AUBIN PT
Physical Therapist
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
MS. SONYA RENE WHITE LPTA
Physical Therapy Assistant
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
MRS. REBECCA JUDY MERMOD COTA
Occupational Therapy Assistant
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
MS. SARA SHAPIRO MPH, PT
Physical Therapist
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
CHERYL HERRICK P.T.
Physical Therapist
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
MARTA ANTONOWICZ DPT
Physical Therapist
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
CHRISTINA MURPHY
Physical Therapist
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
ASA ADDISON HARRIS PTA
Physical Therapy Assistant
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
MR. PATRICK DEWITT COTA
Occupational Therapy Assistant
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
LARRY HURD COTA
Occupational Therapy Assistant
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
MS. HANNAH LOUISE CARROLL PTA
Physical Therapy Assistant
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
KATIE IRVIN MS OTR/L
Occupational Therapist
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
LINDSEY MARSAW PTA
Physical Therapy Assistant
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
CRESTWOOD CONVALESCENT - PORT ANGELES LLC
Skilled Nursing Facility
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
STACEY STEELE COTA
Occupational Therapy Assistant
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
JUSTIN FORD WALKER
Speech-Language Pathologist
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
MATTHEW PATRICK MALLOY PTA
Physical Therapy Assistant
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
BIRGIT LLEWELLYN
Physical Therapy Assistant
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
CRESTWOOD CONVALESCENT - PORT ANGELES LLC
Skilled Nursing Facility
1116 E LAURIDSEN BLVD
PORT ANGELES, WA
ZIP 98362
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629476916, enumerated as an "organization" on December 18, 2014.
The provider is located at 1116 E LAURIDSEN BLVD PORT ANGELES, WA 98362 and the phone number is (360) 452-9206.
Skilled Nursing Facility with taxonomy code 314000000X.
