CRESTPARK WYNNE, LLC
NPI 1518112630
Skilled Nursing Facility in Wynne, AR
About Crestpark Wynne, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRESTPARK WYNNE, LLC (NPI 1518112630) is a healthcare organization registered as a skilled nursing facility in Wynne, Arkansas and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Melisha Dilks, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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 04D0718959
Crestpark Wynne LLC · Wynne, ARNursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Crestpark Wynne, LLC (CMS certification number 045166), from CMS Care Compare.
Crestpark Wynne, LLC
Nursing home · Wynne, ARCMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WYNNE, AR 72396
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 Wynne, LLC's NPI number?
The NPI number for Crestpark Wynne, LLC is 1518112630. It was assigned to this organization in the NPPES registry on November 18, 2008.
Where is Crestpark Wynne, LLC located?
Crestpark Wynne, LLC is located at 400 Arkansas Ave E, Wynne, AR 72396. The listed phone number is (870) 238-7941.
What is Crestpark Wynne, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Crestpark Wynne, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D0718959) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Crestpark Wynne, LLC a Medicare-certified nursing home?
Yes. Crestpark Wynne, LLC is a Medicare-certified nursing home with 100 certified beds.
What quality rating does Crestpark Wynne, LLC have?
CMS rates Crestpark Wynne, LLC 3 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 Wynne, 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.