CRESCENT NURSING & REHABILITATION LLC


Address: 208 E Sanderson St, Crescent, OK 73028-9027
Phone: 4059692698

CRESCENT NURSING & REHABILITATION LLC (NPI# 1275043747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275043747
Entity Type Organization
Organization Name CRESCENT NURSING & REHABILITATION LLC
Other Organization Name CRESCENT NURSING & REHAB
Practice Address 208 E Sanderson St
Crescent
OK 73028-9027
Mailing Address 9 Professional Dr
Bella Vista
AR 72715-8462
Practice Telephone 4059692698
Practice Fax Number 4059692327
Mailing Telephone 4797156759
Mailing Fax Number 4797156922
Enumeration Date 2017-10-10
Last Update Date 2017-10-10
Authorized Official Name BRADFORD MONTGOMERY (MANAGING MEMBER)
Authorized Official Telephone 4797156759
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility NH4202 OK Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Crescent Nursing & Rehab Doing Business As Name - Organization

Office Location

Street Address 208 E SANDERSON ST
City CRESCENT
State OK
Zip Code 73028-9027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205824463 Crescent Manor Inc. Nursing Facility/Intermediate Care Facility 208 E Sanderson St, Crescent, OK 73028-9027 2005-10-12

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205824463 Crescent Manor Inc. Nursing Facility/Intermediate Care Facility 208 E Sanderson St, Crescent, OK 73028-9027 2005-10-12

Providers in the same taxonomy and state

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
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Competitor

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City CRESCENT
Zip Code 73028

Improve Information

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Dataset Information

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.

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