Provider Demographics
NPI:1932085685
Name:CRESTVIEW OPCO LLC
Entity type:Organization
Organization Name:CRESTVIEW OPCO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:INSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-742-8167
Mailing Address - Street 1:2833 SMITH AVE STE 144
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-1426
Mailing Address - Country:US
Mailing Address - Phone:443-742-8167
Mailing Address - Fax:
Practice Address - Street 1:2401 DES MOINES ST
Practice Address - Street 2:
Practice Address - City:WEBSTER CITY
Practice Address - State:IA
Practice Address - Zip Code:50595-3046
Practice Address - Country:US
Practice Address - Phone:515-832-2727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility