NPIMap

Organization Active NPI

Crestpark Marianna, LLC

  • Skilled Nursing Facility
  • Marianna, AR
National Provider Identifier
1659526762
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
634 Issued in AR
Legal business name
CRESTPARK MARIANNA, LLC
Practice address
700 W Chestnut St
Marianna, AR 72360-2160
Phone
(870) 295-3466
Fax
(870) 295-5474
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 634 AR Primary

Addresses

Primary practice location

700 W Chestnut St
Marianna, AR 72360-2160

Mailing address

PO Box 386
Marianna, AR 72360-0386
Phone (870) 295-3466

Other identifiers 2

IdentifierTypeStateIssuer
045449OtherARMEDICARE TPIN
178269311MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120323000596 AR Part A Provider - Skilled Nursing Facility 8820258155 Practice locations: Marianna, AR

Skilled nursing facility certification: CCN 045449

Legal name
CRESTPARK MARIANNA LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 22, 2012
Last certification
May 22, 2025
Beds
80
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Oct 22, 2008 in AR
Enrollment address
700 W Chestnut St
Marianna, AR 72360-2160
Nursing home name
CRESTPARK MARIANNA, L L C
Affiliated entity
CRESTPARK

Care Compare: Nursing home

Medicare Care Compare
Listed as
Crestpark Marianna, L L CCCN 045449
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 22, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8052.0 residents per day on average
Chain
Crestpark6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

700 W Chestnut St
Marianna, AR 72360
Phone (870) 295-3466

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.

NameRoleSinceShare
Dilks, LLC Organization, Marianna, AR Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2009 50%
Operational/Managerial Control Sep 1, 2009
Direct Ownership Interest Sep 1, 2009 50%
Individual Adp of the SNF Sep 1, 2024
Barbara Belew Individual 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 Organization, Marianna, AR Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2009 50%
Operational/Managerial Control Sep 1, 2009
Individual Adp of the SNF Sep 1, 2009
Melisha Dilks Individual 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1431648000000",
    "number": "1659526762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723600386",
            "telephone_number": "870-295-3466",
            "fax_number": "870-295-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CHESTNUT ST",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602160",
            "telephone_number": "870-295-3466",
            "fax_number": "870-295-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTPARK MARIANNA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2015-05-15",
        "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": "634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TPIN",
            "identifier": "045449",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178269311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, AR

Sources for this page

Verify at the official NPI Registry.