Crestwood Village Assisted Living
NPI 1114351152ActiveOrganization· Exclusive Provider Organization· Mt. Pleasant, MI
Exclusive Provider Organization in Mt. Pleasant, Michigan, registered in NPPES in August 2013, part of Leisure Living Management. The authorized official on file is Samantha Thelen, Director Of Operations.
Overview
| NPI | 1114351152 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Leisure Living Management |
| NPI issued | Aug 27, 2013 |
| Last updated in NPPES | Mar 9, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | AH370325563 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|