CRYSTAL FALLS HEALTHCARE, LLC (NPI# 1770537565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770537565 |
Entity Type | Organization |
Organization Name | CRYSTAL FALLS HEALTHCARE, LLC |
Practice Address |
1206 W Collin Raye Dr De Queen AR 71832-2030 |
Practice Telephone | 8706423317 |
Practice Fax Number | 8706426667 |
Mailing Telephone | 8706423317 |
Mailing Fax Number | 8706426667 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2008-03-14 |
Authorized Official Name | MRS. DEBBIE J PERRON (REGIONAL BUSINESS OFFICE MANAGER) |
Authorized Official Telephone | 5018884200 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 796 | AR | Nursing & Custodial Care Facilities |
Street Address |
1206 W COLLIN RAYE DR |
City | DE QUEEN |
State | AR |
Zip Code | 71832-2030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275043325 | Healthy Connections Inc | Clinic/Center | 1206 W Collin Raye Dr, De Queen, AR 71832-2030 | 2017-10-03 |
1700205572 | Carolin Hockersmith | Nurse Practitioner | 1206 W Collin Raye Dr, De Queen, AR 71832-2030 | 2014-04-09 |
1871868703 | Healthy Connections Inc | Clinic/Center | 1206 W Collin Raye Dr, De Queen, AR 71832-2030 | 2012-03-10 |
1104134501 | Nho, LLC | Skilled Nursing Facility | 1206 W Collin Raye Dr, De Queen, AR 71832-2030 | 2010-09-20 |
1740436930 | Crystal Falls Health & Rehab Center, LLC | Skilled Nursing Facility | 1206 W Collin Raye Dr, De Queen, AR 71832-2030 | 2008-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487149985 | Healthcare Express, LLP | Clinic/Center | 1021 W. Collin Raye Dr., Dequeen, AR 71832 | 2018-06-27 |
1982963781 | Callie Montana Miller | Specialist/Technologist | 194 Choctaw Trail, Dequeen, AR 71832 | 2012-05-14 |
1023376589 | Dequeen Medical Center | Rehabilitation Hospital | 1306 W Collin Dr., Dequeen, AR 71832 | 2012-05-02 |
1083971428 | Renee Logan | Pharmacist | 205 W De Queen Ave., De Queen, AR 71832 | 2012-04-23 |
1538434295 | Angela Kay Martin | Nurse Practitioner | 1302 W. Collin Raye Dr., Suite A, Dequeen, AR 71832 | 2012-03-14 |
1386950624 | Charles Norman Alston IIi | Dentist | 110 W. De Queen Avenue, De Queen, AR 71832 | 2010-08-24 |
1609181783 | De Queen Medical Center Inc | Home Health | 1007 N 14th St, De Queen, AR 71832 | 2010-08-12 |
1821301466 | Claire Terece Russell | Nurse Practitioner | 500 E. Collin Raye Dr, Dequeen, AR 71832 | 2010-07-25 |
1043445455 | Smiles of Arkansas Dental Center, Pllc | Dentist | 110 West Dequeen Avenue, Suite B, Dequeen, AR 71832 | 2009-05-29 |
1538319496 | Kerri Allison Ross | Speech-Language Pathologist | 122 Crestwood Dr., Dequeen, AR 71832 | 2008-09-26 |
Find all providers in zip 71832 |
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 |
---|---|---|---|---|
1578558144 | Brookewood Limited Partnership | Skilled Nursing Facility | 322 W Collin Raye Dr, De Queen, AR 71832-2007 | 2005-09-20 |
1154865616 | Bear Creek Healthcare, LLC | Skilled Nursing Facility | 322 W Collin Raye Dr, De Queen, AR 71832-2007 | 2016-12-16 |
1497164404 | De Queen Therapy & Living Center, Inc. | Skilled Nursing Facility | 322 W Collin Raye Dr, De Queen, AR 71832-2007 | 2014-08-05 |
1104134501 | Nho, LLC | Skilled Nursing Facility | 1206 W Collin Raye Dr, De Queen, AR 71832-2030 | 2010-09-20 |
1740436930 | Crystal Falls Health & Rehab Center, LLC | Skilled Nursing Facility | 1206 W Collin Raye Dr, De Queen, AR 71832-2030 | 2008-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558904979 | Ola Ops, Inc. | Skilled Nursing Facility | 502 W Pennington St, Ola, AR 72853-8851 | 2019-10-18 |
1831746676 | Cwnc Ops Inc | Skilled Nursing Facility | 1393 E Don Tyson Pkwy, Springdale, AR 72764-7882 | 2019-08-26 |
1881256493 | Bayshore, LLC | Skilled Nursing Facility | 260 Lakepark Dr, Hot Springs, AR 71901-9260 | 2019-07-03 |
1508322249 | Superior Health & Rehab LLC | Skilled Nursing Facility | 625 Tommy Lewis Dr, Conway, AR 72032-7006 | 2019-02-19 |
1447733480 | Chc Lakeside Nursing Center, LLC | Skilled Nursing Facility | 1207 Willow Run St, Lake City, AR 72437-9520 | 2018-09-14 |
1811470784 | Ltc of Berryville, LLC | Skilled Nursing Facility | 500 Hammond Avenue, Berryville, AR 72616 | 2018-09-07 |
1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
1386140341 | Three Rivers Nursing and Rehabilitation LLC | Skilled Nursing Facility | 33904 Highway 63 E, Marked Tree, AR 72365-9521 | 2018-03-30 |
1093244097 | Salco Nc 2, Inc. | Skilled Nursing Facility | 6420 Alcoa Rd, Benton, AR 72015-6315 | 2017-06-05 |
1184168072 | Dierks Healthcare & Rehabilitation Center LLC | Skilled Nursing Facility | 402 S Arkansas Ave, Dierks, AR 71833-9001 | 2016-12-12 |
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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.