Crestwood Convalescent - Port Angeles LLC
NPI 1417029885 · Skilled Nursing Facility · Port Angeles, WA
Crestwood Convalescent - Port Angeles LLC is a Skilled Nursing Facility organization in Port Angeles, WA (NPI 1417029885).
Provider details
- NPI number
- 1417029885
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Dov Jacobs, Manager(323) 678-4426
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Crestwood Health & Rehabilitation Center
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2017-08-18
Frequently asked questions
- What is Crestwood Convalescent - Port Angeles LLC's NPI number?
- Crestwood Convalescent - Port Angeles LLC's National Provider Identifier (NPI) is 1417029885, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crestwood Convalescent - Port Angeles LLC?
- Crestwood Convalescent - Port Angeles LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Crestwood Convalescent - Port Angeles LLC located?
- Crestwood Convalescent - Port Angeles LLC's practice location on file with NPPES is 1116 E Lauridsen Blvd, Port Angeles, WA 98362-6640.
- What is Crestwood Convalescent - Port Angeles LLC's phone number?
- The practice phone number listed in the NPPES registry for Crestwood Convalescent - Port Angeles LLC is (360) 452-9206.
- Who is the authorized official for Crestwood Convalescent - Port Angeles LLC?
- The authorized official listed on Crestwood Convalescent - Port Angeles LLC's NPPES record is Dov Jacobs, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crestwood Convalescent - Port Angeles LLC's NPI active?
- Yes — Crestwood Convalescent - Port Angeles LLC's NPI (1417029885) is active in the NPPES registry as of the last update on 2017-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.