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Crestmont Nursing Home North Corp.

Nursing Facility/Intermediate Care Facility in Lakewood, OH · enumerated 2005 · authorized official Elias Coury, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487656773

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Registry record

Entity type Organization (Type 2)
Legal business name Crestmont Nursing Home North Corp.
Other name <Unavail>
Practice address 13330 Detroit Ave, Lakewood, OH, 44107
Phone (216) 228-9550
Fax (216) 521-2193
Enumeration date Jun 1, 2005
Last updated in NPPES Oct 3, 2022

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License 4284 (OH) Primary

Authorized official

Name Elias Coury
Title Owner
Phone (216) 539-7846

Other identifiers

Identifier Type State Issuer
0880793 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-10-03. Verify at npiregistry.cms.hhs.gov.
Where is Crestmont Nursing Home North Corp. located?
The practice location on file with NPPES is in Lakewood, OH.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-03.