CRESTPARK DEWITT, LLC
NPI 1528213642
Skilled Nursing Facility in De Witt, AR

Active since November 18, 2008CLIA 04D0920989 · Waiver
2/5
Overall Rating
1325 LIBERTY DR, DE WITT, AR 72042(870) 946-3569(870) 946-0699 Get Directions Write a Review

NPPES record last updated: November 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crestpark Dewitt, Llc NPPES

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

CRESTPARK DEWITT, LLC (NPI 1528213642) is a healthcare organization registered as a skilled nursing facility in De Witt, Arkansas and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Melisha Dilks, Manager, as its authorized official.

NPPES Registry Identity

NPI1528213642
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCRESTPARK DEWITT, LLC
Location Address1325 LIBERTY DRDe Witt, AR 72042-3430
Mailing AddressPo Box 589De Witt, AR 72042-0589 · (870) 946-3569 · Fax (870) 946-0699
Fax(870) 946-0699
Organization SubpartNo
Authorized OfficialMelisha DilksManager · (870) 821-0144
Enumeration DateNovember 18, 2008
NPI 1528213642 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 · 637
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.
1325 LIBERTY DR, De Witt, AR 72042

Other Identifiers 3

Other015177AR · Bcbs Provider Number
Medicare OSCAR/certification045177AR
MedicaidPENDINGAR

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 04D0920989

Crestpark Dewitt LLC · De Witt, AR
Active · expires Oct 15, 2026
CLIA Number04D0920989
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorCathy Dondanville
Laboratory Phone(870) 946-3569
Laboratory LocationCrestpark Dewitt LLC1325 Liberty Drive, De Witt, AR 72042
CLIA data matches this NPI record on: Address 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 Dewitt, LLC (CMS certification number 045177), from CMS Care Compare.

Crestpark Dewitt, LLC

Nursing home · De Witt, AR
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number045177
Certified Beds70 beds38 residents per day on average
Medicare & Medicaid Participant SinceDecember 1, 1991
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
84.67
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 2.88 · LPN 0.84 · RN 0.46
4.18 hrs per resident per day
Weekend Nurse Staffing
3.47 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Fines
2 totaling $9,438.00
Medicare Payment Denials
0
Total Penalties
2
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.

Nurse Practitioner (Psychiatric/Mental Health)
1325 LIBERTY DR
DE WITT, AR 72042

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 Dewitt, LLC's NPI number?

The NPI number for Crestpark Dewitt, LLC is 1528213642. It was assigned to this organization in the NPPES registry on November 18, 2008.

Where is Crestpark Dewitt, LLC located?

Crestpark Dewitt, LLC is located at 1325 Liberty Dr, De Witt, AR 72042. The listed phone number is (870) 946-3569.

What is Crestpark Dewitt, LLC's specialty?

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

Does Crestpark Dewitt, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0920989) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Crestpark Dewitt, LLC a Medicare-certified nursing home?

Yes. Crestpark Dewitt, LLC is a Medicare-certified nursing home with 70 certified beds.

What quality rating does Crestpark Dewitt, LLC have?

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

What insurance does Crestpark Dewitt, LLC accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Crestpark Dewitt, 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 Crestpark Dewitt, 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.