INTEGRITY - CRESCENT PARK VILLAGE LLC NPI 1396264263

NPI Information

  • NPI: 1396264263
  • Provider Name: INTEGRITY - CRESCENT PARK VILLAGE, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 551 REDSTONE AVE W
    CRESTVIEW, FL
    ZIP 32536
  • Phone: (850) 683-3997

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NPI Details

INTEGRITY - CRESCENT PARK VILLAGE, LLC is an assisted living facility in Crestview, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. INTEGRITY - CRESCENT PARK VILLAGE, LLC NPI is 1396264263. The provider is registered as an organization entity type.

The provider's business location address is:

551 REDSTONE AVE W
CRESTVIEW, FL
ZIP 32536-435
Phone: (850) 683-3997

The provider's authorized official is Jonathan Swain Short .
The authorized official title is Cio and has the following contact phone number (336) 438-1383.

The enumeration date for this NPI number is 9/12/2017 and was last updated on 11/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL10102FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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