Crystal Oaks

LBN: Crystal Oaks Long Term Care
Crystal Oaks is an health care organization with primary practice located at 1500 Calvary Church Rd , Festus MO 63028-4125. 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. Crystal Oaks Long Term Care can be contacted via phone (636) 933-1818, or through Arnold, James V via phone (636) 933-1897.

Contact Information

Primary practice address
1500 Calvary Church Rd Festus MO 63028-4125
Phone: (636) 933-1818
Fax: (636) 933-1894
Website:
Map and Directions
Authorized official contact:
Name: Arnold, James V
Phone: (636) 933-1897

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 040114 Missouri

Profile Details

NPI number 1467592618
LBN Legal business name Crystal Oaks Long Term Care
DBA Doing business as Crystal Oaks
Authorized official Arnold, James V
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Mar 6th, 2014 - about 11 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 1467592618 NPPES
Missouri MEDICAID 107808909

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