Provider Demographics
NPI:1033141841
Name:CRONE HEALTH CARE, INC.
Entity Type:Organization
Organization Name:CRONE HEALTH CARE, INC.
Other - Org Name:SILOAM SPRINGS NURSING & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-524-3128
Mailing Address - Street 1:811 W ELGIN ST
Mailing Address - Street 2:
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-2327
Mailing Address - Country:US
Mailing Address - Phone:479-524-3128
Mailing Address - Fax:479-524-2296
Practice Address - Street 1:811 W ELGIN ST
Practice Address - Street 2:
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-2327
Practice Address - Country:US
Practice Address - Phone:479-524-3128
Practice Address - Fax:479-524-2296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR679314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR15356OtherBLUE CROSS BLUE SHIELD
AR119685311Medicaid
AR119685311Medicaid