Crestpark Marianna, Llc

LBN: Crestpark Marianna, Llc
Crestpark Marianna, Llc is an health care organization with primary practice located at 700 W Chestnut St , Marianna AR 72360-2160. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Crestpark Marianna, Llc can be contacted via phone (870) 295-3466, or through Belew, Barbara via phone (501) 626-7986.

Contact Information

Primary practice address
700 W Chestnut St Marianna AR 72360-2160
Phone: (870) 295-3466
Fax: (870) 295-5474
Website:
Map and Directions
Authorized official contact:
Name: Belew, Barbara
Phone: (501) 626-7986

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 634 Arkansas

Profile Details

NPI number 1659526762
LBN Legal business name Crestpark Marianna, Llc
DBA Doing business as
Authorized official Belew, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2008
Last updated May 15th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659526762 NPPES
Arkansas Other 045449 MEDICARE TPIN
Arkansas MEDICAID 178269311 MEDICARE TPIN

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