CRYSTAL CREEK HEALTH AND REHABILITATION CENTER
NPI 1437130747
Skilled Nursing Facility in Florissant, MO

Active since November 14, 2005CLIA 26D0437385 · Waiver
250 S NEW FLORISSANT RD, FLORISSANT, MO 63031(314) 838-2211(314) 838-5981 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2022, Jan 24, 2022, Sep 27, 2016 (3 updates tracked since 2016).

About Crystal Creek Health And Rehabilitation Center NPPES

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

CRYSTAL CREEK HEALTH AND REHABILITATION CENTER (NPI 1437130747) is a healthcare organization registered as a skilled nursing facility in Florissant, Missouri and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Charles Stoltz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1437130747
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameFLO-GP LEASING CO., LLC
Location Address250 S NEW FLORISSANT RDFlorissant, MO 63031-6716
Mailing Address4700 Ashwood Dr, Suite 200Cincinnati, OH 45241-2465 · (513) 489-7100 · Fax (513) 530-1359
Fax(314) 838-5981
Organization SubpartNo
Authorized OfficialCharles StoltzCfo · (513) 489-7100
Enumeration DateNovember 14, 2005
Last NPPES UpdateSeptember 28, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
NPI 1437130747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MO · 030945
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.
250 S NEW FLORISSANT RD, Florissant, MO 63031

Other Names 1

Doing Business AsCrystal Creek Health And Rehabilitation Center

Other Identifiers 1

Medicaid107807703MO

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 26D0437385

Crystal Creek Health And Rehabilitation Center · Florissant, MO
Active · expires Aug 31, 2026
CLIA Number26D0437385
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSue Youngberg
Laboratory Phone(314) 838-2211
Laboratory LocationCrystal Creek Health And Rehabilitation Center250 S New Florissant, Florissant, MO 63031
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 7

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

Occupational Therapist
250 S NEW FLORISSANT RD
FLORISSANT, MO 63031
Speech-Language Pathologist
250 S NEW FLORISSANT RD
FLORISSANT, MO 63031
Occupational Therapist
250 S NEW FLORISSANT RD
FLORISSANT, MO 63031
Skilled Nursing Facility
250 S NEW FLORISSANT RD
FLORISSANT, MO 63031
Skilled Nursing Facility
250 S NEW FLORISSANT RD
FLORISSANT, MO 63031
Physical Therapy Assistant
250 S NEW FLORISSANT RD
FLORISSANT, MO 63031
Occupational Therapy Assistant
250 S NEW FLORISSANT RD
FLORISSANT, MO 63031

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 Flo-Gp Leasing Co., LLC's NPI number?

The NPI number for Flo-Gp Leasing Co., LLC is 1437130747. It was assigned to this organization in the NPPES registry on November 14, 2005. The provider is doing business as Crystal Creek Health And Rehabilitation Center.

Where is Flo-Gp Leasing Co., LLC located?

Flo-Gp Leasing Co., LLC is located at 250 S New Florissant Rd, Florissant, MO 63031. The listed phone number is (314) 838-2211.

What is Flo-Gp Leasing Co., LLC's specialty?

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

Does Flo-Gp Leasing Co., LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0437385) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Flo-Gp Leasing Co., LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Flo-Gp Leasing Co., 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 Flo-Gp Leasing Co., LLC was last updated on September 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.