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CRESCENT CARE CENTER
NPI 1205824463
Nursing Facility/Intermediate Care Facility in Crescent, OK

Active since October 12, 2005
208 E SANDERSON ST, CRESCENT, OK 73028(405) 696-2698(405) 969-2327 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crescent Care Center NPPES

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

CRESCENT CARE CENTER (NPI 1205824463) is a healthcare organization registered as a nursing facility/intermediate care facility in Crescent, Oklahoma and active in the NPI registry since October 2005. The organization lists Brandon Morgan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205824463
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameCRESCENT MANOR INC.
Location Address208 E SANDERSON STCrescent, OK 73028-9027
Mailing Address208 E Sanderson StCrescent, OK 73028-9027 · (405) 696-2698 · Fax (405) 969-2327
Phone(405) 696-2698
Fax(405) 969-2327
Organization SubpartNo
Authorized OfficialBrandon MorganCeo · (479) 769-5535
Enumeration DateOctober 12, 2005
Last NPPES UpdateJanuary 24, 2017
✔ NPI 1205824463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in OK · NH4202-4202
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
208 E SANDERSON ST, Crescent, OK 73028
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Other Names 1

Doing Business AsCrescent Care Center

Other Identifiers 3

Other000375480001OK · Blue Cross Blue Shield Ok
Medicare OSCAR/certification375480OK
Medicaid200055460AOK

Other Providers at the Same Location NPPES

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

CRESCENT NURSING & REHABILITATION LLC
Nursing Facility/Intermediate Care Facility
208 E SANDERSON ST
CRESCENT, OK 73028
Logan County (405) 969-2698

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 Crescent Manor Inc.'s NPI number?

The NPI number for Crescent Manor Inc. is 1205824463. It was assigned to this organization in the NPPES registry on October 12, 2005. The provider is doing business as Crescent Care Center.

Where is Crescent Manor Inc. located?

Crescent Manor Inc. is located at 208 E Sanderson St, Crescent, OK 73028. The listed phone number is (405) 696-2698.

What is Crescent Manor Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Crescent Manor Inc. was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.