Crestpark Stuttgart, LLC
Crestpark Stuttgart, LLC is a healthcare organization registered as Skilled Nursing Facility in Stuttgart, AR, holding Type 2 (organization) NPI 1508011206 since 2008. The authorized official on file is Melisha Dilks, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508011206 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Crestpark Stuttgart, LLC |
| Practice address | 707 W 20TH ST, Stuttgart, AR, 72160 |
| Phone | 8706731657 |
| Fax | 8706729751 |
| Enumeration date | 2008-11-21 |
| Last updated in NPPES | 2008-11-21 |
Authorized official
| Name | Melisha Dilks |
|---|---|
| Title | Manager |
| Phone | 8708210144 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 635 | AR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | AR | — |
| 015303 | Other | AR | BCBS PROVIDER NUMBER |
Copy-ready billing details
Provider: Crestpark Stuttgart, LLC NPI: 1508011206 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 707 W 20TH ST, Stuttgart, AR, 72160
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1265441653 | Evergreene Properties of North Carolina,LLC | Organization | Skilled Nursing Facility | Stuttgart, AR |
Verify this record
Cross-check NPI 1508011206 against the authoritative CMS record: view Crestpark Stuttgart, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Crestpark Stuttgart, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-11-21.