CRESTPARK FORREST CITY, LLC
NPI 1417102468
Skilled Nursing Facility in Forrest City, AR

Active since November 18, 2008CLIA 04D0895127 · Waiver
2/5
Overall Rating
500 KITTLE RD, FORREST CITY, AR 72335(870) 633-4260(870) 633-1486 Get Directions Write a Review

NPPES record last updated: November 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crestpark Forrest City, Llc NPPES

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

CRESTPARK FORREST CITY, LLC (NPI 1417102468) is a healthcare organization registered as a skilled nursing facility in Forrest City, Arkansas and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Barbara Belew, Manager, as its authorized official.

NPPES Registry Identity

NPI1417102468
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCRESTPARK FORREST CITY, LLC
Location Address500 KITTLE RDForrest City, AR 72335-2417
Mailing AddressPo Box 1658Forrest City, AR 72336-1658 · (870) 633-4260 · Fax (870) 633-1486
Fax(870) 633-1486
Organization SubpartNo
Authorized OfficialBarbara BelewManager · (501) 626-7986
Enumeration DateNovember 18, 2008
NPI 1417102468 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 AR · 638
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.
500 KITTLE RD, Forrest City, AR 72335

Other Identifiers 3

Other015219AR · Bcbs Provider Number
Medicare OSCAR/certification045219AR
MedicaidPENDINGAR

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 04D0895127

Crestpark Forrest City LLC · Forrest City, AR
Active · expires Nov 29, 2026
CLIA Number04D0895127
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorLaurel Davis
Laboratory Phone(870) 633-4260
Laboratory LocationCrestpark Forrest City LLC500 Kittel Road, Forrest City, AR 72335
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Crestpark Forrest City, LLC (CMS certification number 045219), from CMS Care Compare.

Crestpark Forrest City, LLC

Nursing home · Forrest City, AR
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number045219
Certified Beds100 beds49 residents per day on average
Medicare & Medicaid Participant SinceNovember 1, 1993
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
74
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.25 · LPN 0.65 · RN 0.33
3.23 hrs per resident per day
Weekend Nurse Staffing
2.77 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
27.3%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
2
Infection-Control Citations
0
Fines
1 totaling $657.80
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
500 KITTLE RD
FORREST CITY, AR 72335

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 Crestpark Forrest City, LLC's NPI number?

The NPI number for Crestpark Forrest City, LLC is 1417102468. It was assigned to this organization in the NPPES registry on November 18, 2008.

Where is Crestpark Forrest City, LLC located?

Crestpark Forrest City, LLC is located at 500 Kittle Rd, Forrest City, AR 72335. The listed phone number is (870) 633-4260.

What is Crestpark Forrest City, LLC's specialty?

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

Does Crestpark Forrest City, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0895127) is associated with this NPI, valid through November 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Crestpark Forrest City, LLC a Medicare-certified nursing home?

Yes. Crestpark Forrest City, LLC is a Medicare-certified nursing home with 100 certified beds.

What quality rating does Crestpark Forrest City, LLC have?

CMS rates Crestpark Forrest City, LLC 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Crestpark Forrest City, LLC was last updated on November 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.