Crestview Rehabilitation Center, LLC
NPI 1821374505ActiveOrganization· Skilled Nursing Facility· Crestview, FL
Skilled Nursing Facility in Crestview, Florida, registered in NPPES in October 2011. The authorized official on file is R. Mark Cronquist, Manager. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1821374505 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2011 |
| Last updated in NPPES | Sep 29, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | SNF1110096 | FL |
| Skilled Nursing Facility | 314000000X | — | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (FL) |
|---|
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