CRYSTAL SPRINGS, INC. (NPI# 1174649081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174649081 |
| Entity Type | Organization |
| Organization Name | CRYSTAL SPRINGS, INC. |
| Practice Address |
38 Narrows Road Assonet MA 02702-0372 |
| Mailing Address |
38 Narrows Road P.o. Box 372 Assonet MA 02702-0372 |
| Practice Telephone | 5086443101 |
| Practice Fax Number | 5086442008 |
| Mailing Telephone | 5086443101 |
| Mailing Fax Number | 5086442008 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2018-01-08 |
| Authorized Official Name | KATHLEEN LOVENBURY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7748553176 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 035224700 | 05 | |
| MA | 1312014 | 05 | |
| MA | 1318071 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881898088 | Crystal Springs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 38 Narrows Road, Po Box 372, Assonet, MA 02702 | 2007-06-12 |
| Street Address |
38 NARROWS ROAD |
| City | ASSONET |
| State | MA |
| Zip Code | 02702-0372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881898088 | Crystal Springs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 38 Narrows Road, Po Box 372, Assonet, MA 02702 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376967257 | Dawn Marie Beaulieu | Registered Nurse | 6 Sassamon Dr, Assonet, MA 02702 | 2014-02-12 |
| 1275846875 | Cathy J Grinham | Dental Hygienist | 15 Slab Bridge Rd, Assonet, MA 02702 | 2010-07-23 |
| 1649415894 | Lynne Almerico Byers | Dentist | 36 South Main, Assonet, MA 02702 | 2008-12-02 |
| 1568685394 | Deborah Lynne Motta | Registered Nurse | 10 Shannon Lane, Assonet, MA 02702 | 2007-04-10 |
| 1821193277 | Noah A Rosen | Surgery | Good Samaritan Medical Center - Center for Wound Care, 909 Sumner Street, Stoughton, MA 02702 | 2006-09-13 |
| 1073011664 | Jere Nichole Cabral | Counselor | 140 Park Street, Ste 3, Attleboro, MA 02702 | 2018-01-29 |
| 1518003706 | James E Byers | Dentist | 36 South Main St, Assonet, MA 02702-0137 | 2007-01-29 |
| 1063058428 | Erin Mead | Physical Therapist | 17 Friend St, Assonet, MA 02702-1007 | 2019-11-20 |
| 1295382166 | Kelley Marie Rosano-pacheco | Massage Therapist | 65 N Main St, Assonet, MA 02702-1015 | 2019-08-24 |
| 1780145649 | Vania C Mendonca | Massage Therapist | 65 N Main St, Assonet, MA 02702-1015 | 2019-03-25 |
| Find all providers in zip 02702 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881898088 | Crystal Springs, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 38 Narrows Road, Po Box 372, Assonet, MA 02702 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015038 | Leander House, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 48 West Ave, Great Barrington, MA 01230-1812 | 2016-11-01 |
| 1245609064 | Mohammed Eisa | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 759 Bennington St, 1, Boston, MA 02128-1133 | 2015-09-22 |
| 1386901544 | Esther Sterling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5500 N Main St Apt 15301, Fall River, MA 02720-2077 | 2012-04-12 |
| 1467768812 | Latham Centers, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1646 Route 6a, Brewster, MA 02631-1716 | 2010-08-24 |
| 1699958025 | Judge Rotenberg Educational Center, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 240 Turnpike St, Canton, MA 02021-2359 | 2007-12-07 |
| 1669696860 | Dr. Franklin Perkins School | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 200 Harvard Rd, Lancaster, MA 01523-2505 | 2007-04-12 |
| 1811904394 | Whitney Academy, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Dr. Braley Road, E. Freetown, MA 02717 | 2006-08-01 |
| 1689919516 | Criterion Child Enrichment Criterion-middlesex Early Intervention | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 651 Franklin St, Framingham, MA 01702-2919 | 2012-12-04 |
| 1710111422 | Merrimack Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 365 East St, Tewksbury, MA 01876-1950 | 2009-05-08 |
| 1093922924 | Evergreen Center, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 345 Fortune Blvd, Milford, MA 01757-1723 | 2007-05-17 |
| Find all providers with the same taxonomy | ||||
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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.