CRESCENT MANOR INC. (NPI# 1205824463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205824463 |
| Entity Type | Organization |
| Organization Name | CRESCENT MANOR INC. |
| Other Organization Name | CRESCENT CARE CENTER |
| Practice Address |
208 E Sanderson St Crescent OK 73028-9027 |
| Practice Telephone | 4056962698 |
| Practice Fax Number | 4059692327 |
| Mailing Telephone | 4056962698 |
| Mailing Fax Number | 4059692327 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | BRANDON MORGAN (CEO) |
| Authorized Official Telephone | 4797695535 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | NH4202-4202 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BLUE CROSS BLUE SHIELD OK | 000375480001 | 01 |
| OK | 200055460A | 05 |
| Other Name | Type Code |
|---|---|
| Crescent Care Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | CRESCENT MANOR INC | Rr 1 Box 97k, Morristown, IN 46161 |
| Street Address |
208 E SANDERSON ST |
| City | CRESCENT |
| State | OK |
| Zip Code | 73028-9027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275043747 | Crescent Nursing & Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 208 E Sanderson St, Crescent, OK 73028-9027 | 2017-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578024774 | Crescent Dental Group Pllc | Dentist | 120 N Grand, Crescent, OK 73028 | 2019-03-29 |
| 1124197496 | Ambulance District of The Crescent School District | Ambulance | 120 W Monroe, Crescent, OK 73028 | 2006-11-08 |
| 1134135932 | Logsdon Lotz Drug Inc | Pharmacy | 101 N Grand, Crescent, OK 73028 | 2006-08-01 |
| 1427056662 | Stephen Ralph Travis | Internal Medicine | 400 S Grand, Crescent, OK 73028 | 2005-07-12 |
| 1851952683 | Next Plan, LLC | Pharmacy | 101 N Grand, Crescent, OK 73028 | 2019-06-24 |
| 1497753487 | Logan Hospital and Medical Center Authority | Clinic/Center | 400 S Grand, Crescent, OK 73028 | 2005-07-13 |
| 1437157500 | Lee Curtis Rittenhouse | General Practice | 400 S Grand, Crescent, OK 73028 | 2005-07-12 |
| 1457633802 | Linda Carol Best | Nurse Practitioner | 613 W Van Buren, Crescent, OK 73028-0000 | 2011-09-12 |
| 1447459359 | Robert William Worden | Emergency Medicine | 315 South Grand, # 542, Crescent, OK 73028-0542 | 2007-07-12 |
| 1295178929 | Jocelyn Janea Humphrey | Speech-Language Pathologist | 11803 W Cooksey Rd, Crescent, OK 73028-8774 | 2013-04-11 |
| Find all providers in zip 73028 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275043747 | Crescent Nursing & Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 208 E Sanderson St, Crescent, OK 73028-9027 | 2017-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455696 | Global Higher Call Nursing, LLC | Nursing Facility/Intermediate Care Facility | 407 Whitebird St, Quapaw, OK 74363-0912 | 2020-07-23 |
| 1336641786 | Sherri Geanette Hilburn | Nursing Facility/Intermediate Care Facility | 225 N. Broadway, Carnegie, OK 73015 | 2018-03-01 |
| 1750891149 | Anadarko Nursing & Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 300 West Washington, Anadarko, OK 73005 | 2017-10-11 |
| 1659773778 | First Choice Home Medical Inc | Nursing Facility/Intermediate Care Facility | 720 N Galena Ave, Geary, OK 73040-1501 | 2014-09-19 |
| 1467852244 | Jlg Healthcare LLC | Nursing Facility/Intermediate Care Facility | 811 W Elk, Duncan, OK 73533-1196 | 2014-08-28 |
| 1720326622 | Integris Rehab LLC | Nursing Facility/Intermediate Care Facility | 14145 S 220th East Ave, Coweta, OK 74429-6269 | 2013-01-28 |
| 1053617761 | Colonial Park Healthcare Center LLC | Nursing Facility/Intermediate Care Facility | 600 W Frontage Rd, Okemah, OK 74859-6433 | 2011-01-28 |
| 1851562136 | Thomas Health and Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 601 East Frisco Street, Thomas, OK 73669 | 2008-03-14 |
| 1770768566 | Cox Building Company, Inc. | Nursing Facility/Intermediate Care Facility | 3501 W Washington St, Broken Arrow, OK 74012-9196 | 2007-12-31 |
| 1477745834 | Rehabcare | Nursing Facility/Intermediate Care Facility | 300 Rockefeller, Muskogee, OK 74401-5235 | 2007-08-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.