NPIMap

Organization Active NPI

Crystal Oaks Nursing and Rehab LLC

Doing business as Crystal Oaks

  • Skilled Nursing Facility
  • Festus, MO
National Provider Identifier
1841909694
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CRYSTAL OAKS NURSING AND REHAB LLC
Doing business as
Crystal Oaks
Practice address
1500 Calvary Church Road
Festus, MO 63028-4125
Phone
(636) 933-1818
NPI assigned
Nov 21, 2022
Last updated
Nov 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Shafiq Malik
Title
President
Phone
(573) 335-3044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1500 Calvary Church Road
Festus, MO 63028-4125

Mailing address

2215 Broadway St
Cape Girardeau, MO 63701-4403
Phone (573) 335-3044

Other names 1

  • CRYSTAL OAKS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221215000322 MO Part A Provider - Skilled Nursing Facility 9931578861 Practice locations: Festus, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841909694. Details of each certification follow.

Skilled nursing facility certification: CCN 265369

Legal name
CRYSTAL OAKS NURSING AND REHAB LLC
Doing business as
CRYSTAL OAKS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1989
Last certification
Aug 22, 2024
Beds
131
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Malik Corporation
Organization structure
LLCProprietary
Enrollment address
1500 Calvary Church Rd
Festus, MO 63028-4125
Nursing home name
CRYSTAL OAKS
Affiliated entity
SHAFIQ MALIK

Care Compare: Nursing home

Medicare Care Compare
Listed as
Crystal OaksCCN 265369 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
131121.1 residents per day on average
Chain
Shafiq Malik9 facilities in the chain
Penalties (3 years)
1Fines totaling $165,187

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Crystal Oaks2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Omer Malik Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Dec 1, 2022
Direct Ownership Interest Dec 1, 2022 50%
Clarissa Lewis Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Jul 21, 2025
Forvis Mazars LLP Organization, Springfield, MO Consulting firm Adp of the SNF Mar 10, 2020
Michael W Nash Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Jul 21, 2025
Shafiq Malik Individual Operational/Managerial Control Dec 1, 2022
Adp of the SNF Dec 1, 2022
Direct Ownership Interest Dec 1, 2022 50%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 5

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.

Affiliated clinicians 5

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": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1841909694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 BROADWAY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014403",
            "telephone_number": "573-335-3044",
            "fax_number": "573-335-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CALVARY CHURCH ROAD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284125",
            "telephone_number": "636-933-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL OAKS NURSING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SHAFIQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-335-3044"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRYSTAL OAKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.