INTEGRITY - CRESCENT PARK VILLAGE, LLC
NPI 1396264263
Assisted Living Facility in Crestview, FL

Q: What is Integrity - Crescent Park Village, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since September 12, 2017

551 REDSTONE AVE W, CRESTVIEW, FL 32536(850) 683-3997 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2021, Sep 12, 2017 (2 updates tracked since 2017).

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About Integrity - Crescent Park Village, Llc NPPES

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

INTEGRITY - CRESCENT PARK VILLAGE, LLC (NPI 1396264263) is a healthcare organization registered as an assisted living facility in Crestview, Florida and active in the NPI registry since September 2017. The organization lists Jonathan Swain Short, Cio, as its authorized official.

NPPES Registry Identity

NPI1396264263

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameINTEGRITY - CRESCENT PARK VILLAGE, LLC

Location Address551 REDSTONE AVE WCrestview, FL 32536-6435

Mailing Address3053 S Church StBurlington, NC 27215-5154 · (336) 438-1376 · Fax (336) 438-1387

Phone(850) 683-3997

Organization SubpartNo

Authorized OfficialJonathan Swain ShortCio · (336) 438-1383

Enumeration DateSeptember 12, 2017

Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration

NPPES CertifiedNovember 18, 2021

✔ NPI 1396264263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · AL10102

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

551 REDSTONE AVE W, Crestview, FL 32536

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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 Integrity - Crescent Park Village, LLC's NPI number?

The NPI number for Integrity - Crescent Park Village, LLC is 1396264263. It was assigned to this organization in the NPPES registry on September 12, 2017.

Where is Integrity - Crescent Park Village, LLC located?

Integrity - Crescent Park Village, LLC is located at 551 Redstone Ave W, Crestview, FL 32536. The listed phone number is (850) 683-3997.

What is Integrity - Crescent Park Village, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Integrity - Crescent Park Village, LLC was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.