CRYSTAL-HERITAGE CARE LLC (NPI# 1154987717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154987717 |
| Entity Type | Organization |
| Organization Name | CRYSTAL-HERITAGE CARE LLC |
| Practice Address |
6161 Busch Blvd Ste 79 Columbus OH 43229-2571 |
| Practice Telephone | 6144681199 |
| Mailing Telephone | 6144681199 |
| Enumeration Date | 2019-05-19 |
| Last Update Date | 2019-05-19 |
| Authorized Official Name | MAYOWA M ADEYELE (PRESIDENT) |
| Authorized Official Telephone | 6142609780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
6161 BUSCH BLVD STE 79 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43229-2571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760095988 | Place of Hope Inc. | Non-emergency Medical Transport (VAN) | 1395 E Dublin Granville Rd, Ste 321 #b, Columbus, OH 43229 | 2020-08-27 |
| 1831724723 | Delvonne Mcadoo | Technician | 6075 Lepage Court, Columbus, OH 43229 | 2020-03-11 |
| 1962963405 | Kayrisha Merica Taylor | Case Manager/Care Coordinator | 5900a Sharron Woods, Columbus, OH 43229 | 2019-03-27 |
| 1467922435 | Latoya Kaye Ogden | Case Manager/Care Coordinator | 4987 Karl Rd, Columbus, OH 43229 | 2018-12-03 |
| 1265900393 | Christiana Brown | Case Manager/Care Coordinator | 5900a Sharonwoods Blvd, Columbus, OH 43229 | 2018-11-07 |
| 1275008781 | La Kenya Renee Turner | Case Manager/Care Coordinator | 5900 Sharonwoods Blvd, Columbus, OH 43229 | 2018-10-11 |
| 1811490295 | Tiffany Nicole Anderson | Case Manager/Care Coordinator | 5900 Sharonwood Dr., Columbus, OH 43229 | 2018-03-13 |
| 1184138398 | Samyell Terry | Case Manager/Care Coordinator | 5900 Sharonwoods, Col, OH 43229 | 2017-11-27 |
| 1619481108 | Ohio Sleep Treatment LLC | Dentist | 6500 Busch Blvd Ste 104, Columbus, OH 43229 | 2017-11-20 |
| 1740793629 | Mary Ervine | Case Manager/Care Coordinator | 5900 Sharonwoods Blv, Columbus, OH 43229 | 2017-11-14 |
| Find all providers in zip 43229 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346706 | Shardonia Bianca Paguada | Home Health | 554 Elda St, Columbus, OH 43203-1105 | 2020-11-03 |
| 1346840014 | Bianca Deloach | Home Health | 3076 Clairpoint Way, Columbus, OH 43227-1828 | 2020-10-30 |
| 1841890886 | Enriched Care Home Health Services | Home Health | 2021 E Dublin Granville Rd Ste 270, Columbus, OH 43229-3568 | 2020-10-29 |
| 1639779747 | Nighat Aziz | Home Health | 1688 Mccoy Rd, Columbus, OH 43220-4406 | 2020-10-28 |
| 1477152007 | Exceed Home Health Care LLC | Home Health | 3280 Morse Rd Ste 200, Columbus, OH 43231-6175 | 2020-10-24 |
| 1215535802 | Emice Ziegler | Home Health | 1707 Peardale Rd N, Columbus, OH 43229-2038 | 2020-10-15 |
| 1306444120 | Circle of Life Caregiver Services | Home Health | 1803 Wynnton Rd, Columbus, GA 31906-2929 | 2020-10-14 |
| 1669079919 | Trillium Home Healthcare, LLC | Home Health | 2700 E Dublin Granville Rd Ste 170, Columbus, OH 43231-4094 | 2020-10-08 |
| 1275140188 | Latonya Qualls | Home Health | 2763 Glenshire Dr, Columbus, OH 43219-3219 | 2020-09-24 |
| 1073129672 | Make A U-turn Foundation, Inc | Home Health | 5868 Saranac Dr, Columbus, OH 43232-3176 | 2020-09-18 |
| Find all providers in COLUMBUS | ||||
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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.