Crestridge LLC
Crestridge LLC is a healthcare organization registered as Nursing Facility/Intermediate Care Facility in Watonga, OK, holding Type 2 (organization) NPI 1639262702 since 2006. The authorized official on file is James Sims, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639262702 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Crestridge LLC |
| Other name | <Unavail> |
| Practice address | 816 N CLARENCE NASH BLVD, Watonga, OK, 73772 |
| Phone | 5806237249 |
| Fax | 5806237245 |
| Enumeration date | 2006-10-02 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | James Sims |
|---|---|
| Title | Owner |
| Phone | 5808224441 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | Primary | NH0603-0603 | OK |
Copy-ready billing details
Provider: Crestridge LLC NPI: 1639262702 Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility) Address: 816 N CLARENCE NASH BLVD, Watonga, OK, 73772
Verify this record
Cross-check NPI 1639262702 against the authoritative CMS record: view Crestridge 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 Crestridge LLC?
Who is the authorized official for Crestridge LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.