OrganizationActive
Integrity - Crescent Park Village, LLC
NPI 1396264263 · Assisted Living Facility · Crestview, FL
Provider details
- NPI number
- 1396264263
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Short, Cio(336) 438-1383
- License
- AL10102 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
551 Redstone Ave W
Crestview, FL 32536-6435
Phone: (850) 683-3997
Street-level locationGet directions
Mailing address
3053 S Church St
Burlington, NC 27215-5154
Registry dates
- Enumerated
- 2017-09-12
- Last updated
- 2021-11-18
- Certified
- 2021-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.