Provider Demographics
NPI:1972559318
Name:CRESTVIEW NORTH, INC
Entity Type:Organization
Organization Name:CRESTVIEW NORTH, INC
Other - Org Name:CRESTVIEW CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:262 TOLLGATE RD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1377
Practice Address - Country:US
Practice Address - Phone:215-968-4650
Practice Address - Fax:215-860-5336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA030802314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
001228OtherHORIZION - SUB
21013OtherHEALTH PARTNERS
317122OtherUS FAMILY HEALTH PLAN
93311OtherAETNA-HMO
395459OtherHORIZION - SNF
0005917000OtherIBC
0005917000OtherAMERIHEALTH
112OtherELDER HEALTH
IY0225OtherHEALTHNET
1066445OtherKEYSTONE MERCY
PA0008332840001Medicaid
255068OtherHEALTH AMERICA
0005917000OtherIBC
=========OtherCIGNA - PA
PA0008332840001Medicaid
255068OtherHEALTH AMERICA
=========OtherHNFS-TRICARE