Active NPI
Crestpark Helena, LLC
- Skilled Nursing Facility
- Helena, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 633
- Legal business name
- CRESTPARK HELENA, LLC
- Practice address
- 116 November
Helena, AR 72342-1502 - Phone
- (870) 338-9886
- Fax
- (870) 338-6097
- NPI assigned
- Nov 18, 2008
- Last updated
- Nov 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Barbara Belew
- Title
- Manager
- Phone
- (501) 626-7986
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 633 | AR | Primary |
Addresses
Primary practice location
116 November
Helena, AR 72342-1502
Mailing address
PO Box 310
Helena, AR 72342-0310
Phone (870) 338-9886
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | AR | |
| 015221 | Other | AR | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090924000513 | AR | Part A Provider - Skilled Nursing Facility | 9234285701 | Practice locations: Helena, AR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1295980316. Details of each certification follow.
Skilled nursing facility certification: CCN 045221
- Legal name
- CRESTPARK HELENA, LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1994
- Last certification
- Jun 6, 2024
- Beds
- 100
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Oct 22, 2008 in AR
- Enrollment address
- 116 November Drive
Helena, AR 72342-1502 - Nursing home name
- CRESTPARK HELENA, LLC
- Affiliated entity
- CRESTPARK
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Crestpark Helena, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1994
- Medicare certification status
- Active
- Certified beds
- 100
- Chain
- Crestpark
National Provider Directory
National Provider DirectoryLocations
116 November
Helena, AR 72342
Phone (870) 338-9886
Ownership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Dilks, LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2009 | 50% |
| Operational/Managerial Control | Sep 1, 2009 | ||
| Indirect Ownership Interest | Sep 1, 2009 | 50% | |
| Adp of the SNF | Aug 18, 2014 | ||
| Adp of the SNF | Mar 10, 2023 | ||
| Barbara Belew | 5% Or Greater Indirect Ownership Interest | Sep 1, 2009 | 50% |
| Operational/Managerial Control | Sep 1, 2009 | ||
| Indirect Ownership Interest | Sep 1, 2009 | 50% | |
| Belew, LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2009 | 50% |
| Operational/Managerial Control | Sep 1, 2009 | ||
| Indirect Ownership Interest | Sep 1, 2009 | 50% | |
| Melisha Dilks | 5% Or Greater Indirect Ownership Interest | Sep 1, 2009 | 50% |
| Operational/Managerial Control | Sep 1, 2009 | ||
| Indirect Ownership Interest | Sep 1, 2009 | 50% |
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Forrest City, AR
- NPI 1417102468
Belew, LLC, Dilks, LLC
-
- Skilled Nursing Facility
- Stuttgart, AR
- NPI 1508011206
Belew, LLC, Dilks, LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Cordova, TN
- NPI 1780690230
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226966400000",
"number": "1295980316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310",
"city": "HELENA",
"state": "AR",
"postal_code": "723420310",
"telephone_number": "870-338-9886",
"fax_number": "870-338-6097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 NOVEMBER",
"city": "HELENA",
"state": "AR",
"postal_code": "723421502",
"telephone_number": "870-338-9886",
"fax_number": "870-338-6097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESTPARK HELENA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A",
"authorized_official_last_name": "BELEW",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "501-626-7986",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AR",
"license": "633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "015221",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Helena, AR
- Counseling Services of Eastern Arkansas
- Counseling Services of Eastern Arkansas (Delta Care Community Based Rehabilitation)
- Counseling Services of Eastern Arkansas (Delta Care Community Based Rehabilitation II)
- Karan Regina Cox, FNP
- Rosetta Ross Crawford
- Crestpark Retirement Helena, LLC
- Cricket Dental PLLC
- Susan Von Daniel
- Shelley Renee Darby, OTR
- David Lee Webber D.O. P.a. (Webber Family Practice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.