CRYSTAL REHABILITATION AND HEALTHCARE CENTER, LLC
NPI 1023068723
Skilled Nursing Facility in Greenwood, MS

Active since May 11, 2006CLIA 25D0881912 · Waiver
902 SGT JOHN A PITTMAN DR, GREENWOOD, MS 38930(662) 453-9173(662) 455-4933 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2017, Jul 11, 2016 (2 updates tracked since 2016).

About Crystal Rehabilitation And Healthcare Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL REHABILITATION AND HEALTHCARE CENTER, LLC (NPI 1023068723) is a healthcare organization registered as a skilled nursing facility in Greenwood, Mississippi and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Michelle D Meer, Vice President & Secretary, as its authorized official.

NPPES Registry Identity

NPI1023068723
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCRYSTAL REHABILITATION AND HEALTHCARE CENTER, LLC
Location Address902 SGT JOHN A PITTMAN DRGreenwood, MS 38930-7343
Mailing Address902 Sgt John A Pittman DrGreenwood, MS 38930-7343 · (662) 453-9173 · Fax (662) 455-4933
Fax(662) 455-4933
Organization SubpartYesParent: Ark Mississippi Holding Company, Llc
Authorized OfficialMichelle D MeerVice President & Secretary · (629) 626-0000
Enumeration DateMay 11, 2006
Last NPPES UpdateOctober 17, 20172 updates tracked since enumeration
NPI 1023068723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MS · 501
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
902 SGT JOHN A PITTMAN DR, Greenwood, MS 38930

Other Identifiers 2

Medicaid230069MS
Medicare OSCAR/certification255154

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0881912

Crystal Rehabilitation And Healthcare Center · Greenwood, MS
Active · expires Jan 24, 2028
CLIA Number25D0881912
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorKiki Jackson
Laboratory Phone(662) 453-9173
Laboratory LocationCrystal Rehabilitation And Healthcare Center902 Sgt John A Pittman Drive, Greenwood, MS 38930
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
902 SGT JOHN A PITTMAN DR
GREENWOOD, MS 38930
Occupational Therapist
902 SGT JOHN A PITTMAN DR
GREENWOOD, MS 38930
Physical Therapist
902 SGT JOHN A PITTMAN DR
GREENWOOD, MS 38930
Occupational Therapist
902 SGT JOHN A PITTMAN DR
GREENWOOD, MS 38930
Skilled Nursing Facility
902 SGT JOHN A PITTMAN DR
GREENWOOD, MS 38930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Rehabilitation And Healthcare Center, LLC's NPI number?

The NPI number for Crystal Rehabilitation And Healthcare Center, LLC is 1023068723. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Crystal Rehabilitation And Healthcare Center, LLC located?

Crystal Rehabilitation And Healthcare Center, LLC is located at 902 Sgt John A Pittman Dr, Greenwood, MS 38930. The listed phone number is (662) 453-9173.

What is Crystal Rehabilitation And Healthcare Center, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Crystal Rehabilitation And Healthcare Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0881912) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crystal Rehabilitation And Healthcare Center, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Crystal Rehabilitation And Healthcare Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Rehabilitation And Healthcare Center, LLC was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.