Crestridge LLC
NPI 1639262702 · Nursing Facility/Intermediate Care Facility · Watonga, OK
Crestridge LLC is a Nursing Facility/Intermediate Care Facility organization in Watonga, OK (NPI 1639262702).
Provider details
- NPI number
- 1639262702
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- James Sims, Owner(580) 822-4441
- License
- NH0603-0603 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Crestridge Place
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Crestridge LLC's NPI number?
- Crestridge LLC's National Provider Identifier (NPI) is 1639262702, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crestridge LLC?
- Crestridge LLC is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Crestridge LLC located?
- Crestridge LLC's practice location on file with NPPES is 816 N Clarence Nash Blvd, Watonga, OK 73772-2024.
- What is Crestridge LLC's phone number?
- The practice phone number listed in the NPPES registry for Crestridge LLC is (580) 623-7249.
- Who is the authorized official for Crestridge LLC?
- The authorized official listed on Crestridge LLC's NPPES record is James Sims, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crestridge LLC's NPI active?
- Yes — Crestridge LLC's NPI (1639262702) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.