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.
Organization
CRESTCARE NURSING & REHABILITATION CENTER
Active
Organization
CRESTCARE NURSING & REHABILITATION CENTER
Active
Other names
Eden Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY WILLIAMS (PRESIDENT)
(281) 574-7495
Entity
Organization
Contact information
Practice address
1301 EDEN DR, LONGVIEW, TX 75605-4102
(903) 753-7651
(903) 758-8942
Mailing address
1301 EDEN DR, LONGVIEW, TX 75605-4102
(903) 753-7651
(903) 758-8942
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
110571
TX
314000000X
Skilled Nursing Facility
Primary
110571
TX
385H00000X
Respite Care
110571
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001003848
—
TX
05
—
1668709-01
—
TX
Enumeration date
10/27/2005
Last updated
07/02/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers