# CRESTVIEW HH OPCO LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Crestview Healthcare Residence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548813652
- **Authorized official:** MICHAEL LITTLE (MANAGER)
- **Authorized official phone:** (512) 520-7320

## Contact information

- **Practice address:** 1400 LAKE SHORE DR, WACO, TX 76708-3718
- **Practice address phone:** (254) 753-0291
- **Mailing address:** 1400 LAKE SHORE DR, WACO, TX 76708-3718
- **Mailing address phone:** (254) 753-0291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2019
- **Last updated:** 07/17/2019