Crestpark Dewitt, LLC
Crestpark Dewitt, LLC is a healthcare organization registered as Skilled Nursing Facility in De Witt, AR, holding Type 2 (organization) NPI 1528213642 since 2008. The authorized official on file is Melisha Dilks, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1528213642 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Crestpark Dewitt, LLC |
| Practice address | 1325 LIBERTY DR, De Witt, AR, 72042 |
| Phone | 8709463569 |
| Fax | 8709460699 |
| Enumeration date | 2008-11-18 |
| Last updated in NPPES | 2008-11-18 |
Authorized official
| Name | Melisha Dilks |
|---|---|
| Title | Manager |
| Phone | 8708210144 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 637 | AR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015177 | Other | AR | BCBS PROVIDER NUMBER |
| PENDING | Medicaid | AR | — |
Copy-ready billing details
Provider: Crestpark Dewitt, LLC NPI: 1528213642 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1325 LIBERTY DR, De Witt, AR, 72042
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750196127 | Quanesha Palmer | Individual | Psychiatric/Mental Health Nurse Practitioner | De Witt, AR |
Verify this record
Cross-check NPI 1528213642 against the authoritative CMS record: view Crestpark Dewitt, 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
What is the NPI number for Crestpark Dewitt, LLC?
Who is the authorized official for Crestpark Dewitt, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-11-18.