Crescent Nursing & Rehabilitation LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH4202 Issued in OK

Legal business name

CRESCENT NURSING & REHABILITATION LLC

Doing business as

Crescent Nursing & Rehab

Practice address

208 E Sanderson St
Crescent, OK 73028-9027

Phone

(405) 969-2698

Fax

(405) 969-2327

NPI assigned

Oct 10, 2017

Last updated

Oct 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradford Montgomery

Title

Managing Member

Phone

(479) 715-6759

Specialties & licenses 1

Addresses

Other names 1

• Crescent Nursing & Rehab Doing business as

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1275043747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PROFESSIONAL DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727158462",
            "telephone_number": "479-715-6759",
            "fax_number": "479-715-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E SANDERSON ST",
            "city": "CRESCENT",
            "state": "OK",
            "postal_code": "730289027",
            "telephone_number": "405-969-2698",
            "fax_number": "405-969-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT NURSING & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "479-715-6759"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crescent Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Backer Counseling
• Gaye Labeth Backer, LPC
• Kayla Lynn Birchfield, APRN-CNP
• Crescent Dental Group PLLC
• Crescent Manor Inc. (Crescent Care Center)
• Delbert Elmer Cronister, BHRS
• Shannon Lee Dunn, DNP, APRN-CNP, FNP-C
• Katrina House
• Jocelyn Janea Humphrey, M.S. CCC-SLP
• Dana K Larue

• Nursing Facility/Intermediate Care Facility in Crescent, OK
• Providers in Crescent, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.