# KISMET CDR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crest View Healthcare Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932107711
- **Authorized official:** MICHAEL MOORE (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (605) 642-7736

## Contact information

- **Practice address:** 420 GORDON AVE, CHADRON, NE 69337-2006
- **Practice address phone:** (308) 432-3355
- **Practice address fax:** (308) 432-4335
- **Mailing address:** 420 GORDON AVE, CHADRON, NE 69337-2006
- **Mailing address phone:** (308) 432-3355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 214001 | NE | Yes |

## Other

- **Enumeration date:** 07/14/2005
- **Last updated:** 01/22/2019