Crestpark Stuttgart, Llc, NPI 1508011206
Skilled Nursing Facility in Stuttgart, AR, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1508011206
NPI Entity Type Organization
Provider Name Crestpark Stuttgart, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 707 W 20th St, Stuttgart, AR, US
Provider Mailing Address Po Box 790, Stuttgart, AR, US, 721600790
Is Sole Proprietor? No
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Organization Official

Official Name MRS. Melisha Dilks
Official Position MANAGER
Phone 870-821-0144

Primary Taxonomy

Taxonomy Code

314000000X

Taxonomy Name Skilled Nursing Facility
Classification

Skilled Nursing Facility

Group

Nursing & Custodial Care Facilities

License No. 635
License State AR
Description (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Business Address

Crestpark Stuttgart, Llc
707 W 20th St

Stuttgart, AR, US

Phone: 870-673-1657
Fax: 870-672-9751

Mailing Address

Crestpark Stuttgart, Llc
Po Box 790
Stuttgart, AR, US
ZIP 721600790
Phone: 870-673-1657
Fax: 870-672-9751

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
PENDING AR MEDICAID 05
015303 AR BCBS PROVIDER NUMBER 01

Other Providers in AR, US

NPI Name Taxonomy Address

1891181475

MRS. B.S., LAC Lakenya Danielle Mitchell

Individual

Professional Counselor

132 Lower Ridge Rd

Conway, AR

1346866647

LPC Katelynn Young

Individual

Mental Health Counselor

1312 Donaghey Ave

Conway, AR

1376280701

MD Ricky L Gable

Individual

Student in an Organized Health Care Education/Training Program

4301 W Markham St # Slot837

Little Rock, AR

1033348099

MR. OTR/L Damon James Beauchamp

Individual

Occupational Therapist

1414 S Elm St

Paris, AR

1851016547

Motor Mouth Pediatric Therapy Services, Llc

Organization

Pediatric Occupational Therapist

307 Pennington Dr Ste A

Paris, AR

1467879957

PA-C, EM-CAQ Chelsey Lee Burton

Individual

Physician Assistant

3000 Medical Center Pkwy

Bentonville, AR

1821472655

LCSW Shari K Kimball

Individual

Clinical Social Worker

1185 Highway 412 W

Siloam Springs, AR

1417584558

DR. MD Jonathan Bauer

Individual

Student in an Organized Health Care Education/Training Program

4301 W Markham St # 515

Little Rock, AR

1184349557

Ryan Staten

Individual

Behavior Technician

2846 N Garland Ave

Fayetteville, AR

1760107122

Leah M Labarba

Individual

Behavior Technician

702 Hickory St

Arkadelphia, AR

1689399040

PHARM D Natalie Denise Underwood

Individual

Pharmacist

3104 W Kingshighway

Paragould, AR

1396316725

Kennedy Coker

Individual

Behavior Technician

2328 Washington Ave

Conway, AR

1902219587

LCSW Jessica Kennington

Individual

Clinical Social Worker

4613 Parkway Dr Ste 7

Texarkana, AR

1477278828

Paige N Cromwell

Individual

Occupational Therapist

2740 College Ave

Conway, AR

1831184837

MD Ronald D. Schlabach

Individual

Family Medicine Physician

937 Highway 64 E

Alma, AR

1215664099

Momentum Therapeutic Services

Organization

Professional Counselor

2402 Wildwood Ave Ste 115

Sherwood, AR

1063137412

Elisha D Cone

Individual

Nurse Practitioner

123 Pinewood Dr

Gurdon, AR

1679221253

Agape Home Help Agency

Organization

Respite Care

116 Lake St

Parkin, AR

1780309120

OTR Delaney Willibey

Individual

Occupational Therapist

3480 Landers Rd

North Little Rock, AR

1497477814

Vine And Root Llc

Organization

Mental Health Counselor

120 Meghan Ln

Judsonia, AR

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