CRYSTAL PROPERTIES INC. (NPI# 1528011210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528011210 |
Entity Type | Organization |
Organization Name | CRYSTAL PROPERTIES INC. |
Other Organization Name | PLEASANT PARK ESTATES |
Practice Address |
1514 High Ave W Oskaloosa IA 52577-1944 |
Practice Telephone | 6416737032 |
Practice Fax Number | 6416737723 |
Mailing Telephone | 6416737032 |
Mailing Fax Number | 6416737723 |
Enumeration Date | 2006-05-17 |
Last Update Date | 2008-02-13 |
Authorized Official Name | MR. RANDY LANGE (PRESIDENT/CEO) |
Authorized Official Telephone | 5152230758 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 620049 | IA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | STATE LICENSE NUMBER | 620049 | 01 |
IA | I-0809772 | 05 | |
IA | STATE DIA NUMBER | 16E722 | 01 |
Other Name | Type Code |
---|---|
Pleasant Park Estates | Doing Business As Name - Organization |
Street Address |
1514 HIGH AVE W |
City | OSKALOOSA |
State | IA |
Zip Code | 52577-1944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376049833 | Deborah Marie Stuckey | Physical Therapy Assistant | 1514 High Ave W, Oskaloosa, IA 52577-1944 | 2018-04-03 |
1407352180 | Miranda Simmers | Occupational Therapy Assistant | 1514 High Ave W, Oskaloosa, IA 52577-1944 | 2018-04-02 |
1831378017 | Jeffrey Neil Gaschler | Occupational Therapist | 1514 High Ave W, Oskaloosa, IA 52577-1944 | 2007-10-24 |
1093905457 | Wills Corporation | Skilled Nursing Facility | 1514 High Ave W, Oskaloosa, IA 52577-1944 | 2007-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245870781 | Arthur Zacharjasz | Nurse Practitioner | 1229 C Ave E, Oskaloosa, Ia 52577, Oskaloosa, IA 52577 | 2020-01-13 |
1306373089 | Kristal Williams | Counselor | 114 N. Market St., Oskaloosa, IA 52577 | 2017-05-12 |
1801345830 | Kristi Lyn Foster | Hearing Instrument Specialist | 714 A Ave West, Oskaloosa, IA 52577 | 2016-10-03 |
1972811198 | Crossroads of Pella | Community/Behavioral Health | 103 North 3rd Street, Oskaloosa, IA 52577 | 2010-09-22 |
1184809477 | Carli Raye Hahn | Psychologist | 814 2nd Ave East, Oskaloosa, IA 52577 | 2008-01-04 |
1982824173 | Laura Adam | Dentist | 2335 Hwy 92 E, Oskaloosa, IA 52577 | 2007-04-27 |
1891910881 | Homestead of Oskaloosa Operations LLC | Assisted Living Facility | 2102 South Market Street, Oskaloosa, IA 52577 | 2007-04-16 |
1194891374 | Karen Anne Spahr | Internal Medicine | 1203 A Ave East, Oskaloosa, IA 52577 | 2006-11-28 |
1376626648 | Wal-mart Stores, Inc. | Technician/Technologist | 2203 Avenue A West, Oskaloosa, IA 52577 | 2006-10-23 |
1003913229 | Heartland Home Care Inc | Home Health | 212 North Market Street, Oskaloosa, IA 52577 | 2006-09-20 |
Find all providers in zip 52577 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(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. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740441047 | Oskaloosa Care Center, Inc. | Skilled Nursing Facility | 605 Highway 432, Oskaloosa, IA 52577-4700 | 2008-06-19 |
1215900741 | Care Initiatives | Skilled Nursing Facility | 2401 Crestview Drive, Oskaloosa, IA 52577-9700 | 2006-02-07 |
1417558487 | Heritage Gardens Health and Rehabilitation Center LLC | Skilled Nursing Facility | 700 Cherokee St, Oskaloosa, KS 66066-5054 | 2020-11-05 |
1578185914 | Hickory Pointe Ks Opco LLC | Skilled Nursing Facility | 700 Cherokee St, Oskaloosa, KS 66066-5054 | 2020-05-07 |
1780080606 | Jessica Daniel | Skilled Nursing Facility | 1315 N 3rd St, Oskaloosa, IA 52577-1803 | 2014-11-05 |
1093905457 | Wills Corporation | Skilled Nursing Facility | 1514 High Ave W, Oskaloosa, IA 52577-1944 | 2007-07-31 |
1891905972 | Hickory Pointe Care and Rehabilitation Center Inc | Skilled Nursing Facility | 700 Cherokee St, Oskaloosa, KS 66066-5054 | 2007-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326647165 | Ema Rehabilitation, LLC | Skilled Nursing Facility | 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 | 2020-10-22 |
1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
1114547395 | Bvm-phs Senior Housing Inc | Skilled Nursing Facility | 1160 Carmel Dr, Dubuque, IA 52003-7911 | 2020-04-17 |
1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
1023679057 | Bcp Union Park, LLC | Skilled Nursing Facility | 2401 E 8th St, Des Moines, IA 50316-1717 | 2019-06-20 |
1639637143 | Wellspire LLC | Skilled Nursing Facility | 5508 Nw 88th St, Johnston, IA 50131-3005 | 2019-03-05 |
1356807101 | Accura Healthcare of Aurelia LLC | Skilled Nursing Facility | 401 W 5th St, Aurelia, IA 51005-7712 | 2019-02-18 |
1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
1255828919 | Brio of Johnston, LLC | Skilled Nursing Facility | 6901 Peckham St, Johnston, IA 50131-3143 | 2018-04-18 |
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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.