CRESTPARK INN OF DEWITT NPI 1992714992
Skilled Nursing Facility in Dewitt, AR

Organization Skilled Nursing Facility

About CRESTPARK INN OF DEWITT

Crestpark Inn Of Dewitt is a provider established in Dewitt, Arkansas specializing in Skilled Nursing Facility. The NPI number of Crestpark Inn Of Dewitt is 1992714992 and was assigned on August 2006. The practitioner's primary taxonomy code is 314000000X with license number 637 (AR). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Crestpark Inn Of Dewitt. The authorized official of this NPI record is Mr. Daniel C Greene (Manager)

NPI
1992714992
Provider NameCRESTPARK INN OF DEWITT
Provider Location Address1325 LIBERTY DRIVE DEWITT, AR 72042
Provider Mailing AddressPO BOX 589 DEWITT, AR 72042
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCRESTPARK INN OF DEWITT
Other Name TypeDoing Business As (3)
Enumeration Date08-07-2006
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code314000000X
ClassificationSkilled Nursing Facility
TypeNursing & Custodial Care Facilities
License No.637
License StateAR
Taxonomy Description(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.

Business Address

CRESTPARK INN OF DEWITT
1325 LIBERTY DRIVE
DEWITT, AR
ZIP 72042
Phone: (870) 946-3569
Fax: (870) 946-0699

Get Directions


Mailing Address

CRESTPARK INN OF DEWITT
PO BOX 589
DEWITT, AR
ZIP 72042
Phone: (870) 946-3569
Fax: (870) 946-0699


Authorized Official

Authorized Official NameMR. DANIEL C GREENE
Authorized Official TitleMANAGER
Authorized Official Phone(336) 668-3896

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
015177OTHER (01)ARBCBS PROVIDER NUMBER

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992714992
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291821418918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 1 + 4 + 1 + 8 + 9 + 1 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1992714992 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Crestpark Inn Of Dewitt is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.