Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crestridge LLC

Organization Nursing Facility/Intermediate Care Facility · NPI 1639262702

Crestridge LLC is a Nursing Facility/Intermediate Care Facility in Watonga, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

816 N Clarence Nash Blvd
Watonga, OK 73772-2024
Phone: (580) 623-7249
Fax: (580) 623-7245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence NH0603-0603 (OK)

Record details

NPI number1639262702
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Sims — Owner · (580) 822-4441
Other names Crestridge Place
NPI enumeratedOctober 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 727, Okeene, OK 73763-0727