CRYSTAL HEALTH CARE SERVICES, INC (NPI# 1003032947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003032947 |
| Entity Type | Organization |
| Organization Name | CRYSTAL HEALTH CARE SERVICES, INC |
| Practice Address |
1300 Baxter Street Suite 190 Charlotte NC 28204-3804 |
| Practice Telephone | 7043342311 |
| Practice Fax Number | 7043342310 |
| Mailing Telephone | 7043342311 |
| Mailing Fax Number | 7043342310 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2009-08-05 |
| Authorized Official Name | MS. KATHRYN THERESA WHITE (ADMINISTRATOR) |
| Authorized Official Telephone | 7043342311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | HC3464 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3412841 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376637033 | Crystal Health Care Services, Inc | Nursing Care | 1300 Baxter Street, Suite 190, Charlotte, NC 28204-3804 | 2006-10-03 |
| 1407908031 | Crystal Health Care Services, Inc | Nursing Care | 7457 Harwin Dr, Suite 303e, Houston, TX 77036-2018 | 2007-01-16 |
| Street Address |
1300 BAXTER STREET SUITE 190 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376637033 | Crystal Health Care Services, Inc | Nursing Care | 1300 Baxter Street, Suite 190, Charlotte, NC 28204-3804 | 2006-10-03 |
| 1548486491 | Crystal Health Care Services Inc | Nursing Care | 1300 Baxter Street, Suite 190, Charlotte, NC 28204-3804 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629602099 | Compassion Nursing & Home Care | Nursing Care | 2015 Shorthorn St, Charlotte, NC 28213-5255 | 2020-02-25 |
| 1437794922 | Delacy C LLC | Nursing Care | 3623 Latrobe Dr Ste 215, Charlotte, NC 28211-4885 | 2019-11-08 |
| 1073155842 | M&k Bieman Enterprises, LLC | Nursing Care | 4822 Albemarle Rd Ste 280-a, Charlotte, NC 28205-6668 | 2019-10-14 |
| 1568940013 | Mm Home Care, LLC | Nursing Care | 1233 W Morehead St Ste A, Charlotte, NC 28208-5213 | 2018-08-06 |
| 1780117317 | Angels From Heaven Home Care LLC | Nursing Care | 4921 Albemarle Rd Suite 110, Charlotte, NC 28205 | 2017-04-10 |
| 1508301185 | Victory Home Health Care, LLC | Nursing Care | 8501 Tower Point Dr, Charlotte, NC 28227-7849 | 2017-01-05 |
| 1053866608 | Better Days Family Support, Inc. | Nursing Care | 212 N Mcdowell St, Ste. 112, Charlotte, NC 28204-2276 | 2016-08-23 |
| 1558710921 | Bethel Homecare Inc | Nursing Care | 5500 Executive Center Dr Ste 214, Charlotte, NC 28212-8864 | 2016-06-07 |
| 1942683446 | Your Health and Wellness Company, Inc. | Nursing Care | 2920 N Tryon St Ste 212, Charlotte, NC 28206-2761 | 2015-07-01 |
| 1962899161 | Executive Healthcare Services | Nursing Care | 10710 Old Bridge Ln, Charlotte, NC 28269-8159 | 2015-04-25 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.