Crossett Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CROSSETT HEALTHCARE LLC

Practice address

1101 Waterwell Rd
Crossett, AR 71635-4152

Phone

(870) 364-5721

NPI assigned

Jun 8, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David J

Title

Cao

Phone

(917) 410-5283

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Skilled nursing facility certification: CCN 045190

Legal name

CROSSETT HEALTHCARE LLC

Doing business as

NIGHTINGALE AT CROSSETT

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 1, 1992

Last certification

Sep 19, 2024

Beds

83

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jul 12, 2021 in AR

Enrollment address

1101 Waterwell Rd
Crossett, AR 71635-4152

Nursing home name

NIGHTINGALE AT CROSSETT

Affiliated entity

NIGHTINGALE

Listed as

Nightingale at CrossettCCN 045190

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Feb 1, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8356.4 residents per day on average

Chain

Nightingale5 facilities in the chain

Penalties (3 years)

1Fines totaling $12,353

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Timothy M Simon, M.D.

  • Family Medicine Physician
  • Monticello, AR
  • NPI 1376523316

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Courtyard Arkadelphia Healthcare LLC

  • Skilled Nursing Facility
  • Arkadelphia, AR
  • NPI 1669101143

  Ardj LLC, Cutlass Op Holdings LLC, Sri Nightingale LLC

  CMS ownership
• Glenwood Healthcare LLC

  • Skilled Nursing Facility
  • Glenwood, AR
  • NPI 1306575881

  Cutlass Op Family Trust I, Cutlass Op Family Trust II, Independence Arkansas HCM LLC, Sri Family Irrevocable Trust, Sri Nightingale LLC

  CMS ownership
• Stonegate Healthcare LLC

  • Skilled Nursing Facility
  • Crossett, AR
  • NPI 1942939426

  Cutlass Op Family Trust I, Cutlass Op Family Trust II, Independence Arkansas HCM LLC, Sri Family Irrevocable Trust, Sri Nightingale LLC

  CMS ownership
• The Woods Healthcare LLC

  • Skilled Nursing Facility
  • Monticello, AR
  • NPI 1487383964

  Cutlass Op Family Trust I, Cutlass Op Family Trust II, Independence Arkansas HCM LLC, Sri Family Irrevocable Trust, Sri Nightingale LLC

  CMS ownership
• Erie SNF Operations LLC

  • Skilled Nursing Facility
  • Erie, PA
  • NPI 1962088773

  Sri Nightingale LLC

  CMS ownership
• Marymount Healthcare, LLC

  • Skilled Nursing Facility
  • Garfield Heights, OH
  • NPI 1851085039

  Cutlass Op Family Trust I, Cutlass Op Family Trust II, Cutlass Op Holdings LLC, Sri Family Irrevocable Trust, Sri Nightingale LLC

  CMS ownership
• We Care Skilled Nursing - Fremont LLC

  • Skilled Nursing Facility
  • Fremont, CA
  • NPI 1205695350

  Cutlass Op Family Trust I, Cutlass Op Family Trust II, Cutlass Op Holdings LLC

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Timothy M Simon, M.D.

  • Family Medicine Physician
  • Monticello, AR
  • NPI 1376523316

  Nursing home

  Care Compare affiliation
• Timothy Simon, MD

  • Colon & Rectal Surgery Physician
  • Decatur, GA
  • NPI 1609824416

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1043949522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OBERLIN AVE N STE 6",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014535",
            "telephone_number": "732-800-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WATERWELL RD",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354152",
            "telephone_number": "870-364-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSETT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "J",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "917-410-5283"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossett Health Foundation
• Crossett Health Foundation
• Crossett Health Foundation
• Crossett Health Foundation
• Crossett Health Foundation
• Crossett School District
• Stacy E Cunningham
• David J Barton DDS PA
• Helen Davis, CHILD CASE MANAGERS
• Walter Lawrence Davis., M.D.

• Skilled Nursing Facility in Crossett, AR
• Providers in Crossett, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.