CRYSTAL JOY CARE HOME


Address: 6088 N 85th Ave, Glendale, AZ 85305-2565
Phone: 6238248496

CRYSTAL JOY CARE HOME (NPI# 1033549001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033549001
Entity Type Organization
Organization Name CRYSTAL JOY CARE HOME
Practice Address 6088 N 85th Ave
Glendale
AZ 85305-2565
Practice Telephone 6238248496
Practice Fax Number 6233987617
Mailing Telephone 6238248496
Mailing Fax Number 6233987617
Enumeration Date 2013-11-12
Last Update Date 2013-11-12
Authorized Official Name MRS. SUSAN B BALANON (OWNER/MANAGER)
Authorized Official Telephone 6238248496
Authorized Official Credential RN/BSN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility AL9166H AZ Nursing & Custodial Care Facilities

Office Location

Street Address 6088 N 85TH AVE
City GLENDALE
State AZ
Zip Code 85305-2565

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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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.
Notes: [7/1/2003: new]

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Competitor

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City GLENDALE
Zip Code 85305

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Dataset Information

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.

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