CRYSTAL CLEAR HOME HEALTH AGENCY (NPI# 1366829319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366829319 |
Entity Type | Organization |
Organization Name | CRYSTAL CLEAR HOME HEALTH AGENCY |
Practice Address |
6739 Hare Hill Dr Arlington TN 38002-4846 |
Mailing Address |
6739 Hare Hill Drivr Arlington TN 38002 |
Practice Telephone | 9014285525 |
Mailing Telephone | 9014285525 |
Enumeration Date | 2015-04-29 |
Last Update Date | 2015-04-29 |
Authorized Official Name | VERONICA LYNN WILSON (CEO) |
Authorized Official Telephone | 9014285525 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251G00000X | Hospice Care, Community Based | Agencies | ||
N | 253Z00000X | In Home Supportive Care | Agencies | ||
Y | 251E00000X | Home Health | Agencies |
Street Address |
6739 HARE HILL DR |
City | ARLINGTON |
State | TN |
Zip Code | 38002-4846 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649836636 | Sunshine and Smiles, LLC. | Home Health | 160 Hidden Lake Cove, Arlington, TN 38002 | 2019-05-15 |
1679050934 | Alisha James-scott | Nurse Practitioner | 9025 Us-64, Lakeland, TN 38002 | 2018-07-19 |
1720577513 | Heavenly Senior Transport Services LLC | Non-emergency Medical Transport (VAN) | 5995 Garret Valley Ln, Arlington, TN 38002 | 2018-05-07 |
1962915959 | Southern Dental of Brunswick Pllc | Dentist | 8755 Chaffee Road, Suite 103, Arlington, TN 38002 | 2017-11-13 |
1346750619 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 5226 Airline Rd, 121, Arlington, TN 38002 | 2017-10-02 |
1528577210 | Celia Mae Noble | Speech-Language Pathologist | 5940 Griffin Rd, Arlington, TN 38002 | 2017-09-25 |
1568996064 | Joshua Davis Bravo | Physical Therapist | 5226 Airline Rd Ste 131, Arlington, TN 38002 | 2017-04-12 |
1952773053 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11003 Highway 70, Arlington, TN 38002 | 2015-10-28 |
1124490222 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11443 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
1245602341 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11455 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
Find all providers in zip 38002 |
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 |
---|---|---|---|---|
1518573195 | 4west Care & Logistics | Home Health | 833 Underhill Dr, Arlington, TX 76002-5041 | 2020-09-19 |
1114536117 | Above All Care LLC | Home Health | 8005 Hat Creek Ct, Arlington, TX 76002-4186 | 2020-07-24 |
1790301224 | Blossom Agency | Home Health | 209 Chasemore Ln, Arlington, TX 76018-1084 | 2020-06-20 |
1649895327 | Universal Care Services LLC | Home Health | 708 S Ivy St, Arlington, VA 22204-2431 | 2020-06-09 |
1346861655 | Intelacare Pbc | Home Health | 2200 Wilson Blvd Ste 102-205, Arlington, VA 22201-3397 | 2020-04-28 |
1609401199 | The Salomia Group LLC | Home Health | 2714 Trinity Bend Cir Apt 714, Arlington, TX 76006-3938 | 2020-03-05 |
1851921035 | Mego Inc | Home Health | 870 S Greenbrier St Apt 607, Arlington, VA 22204-6049 | 2020-01-16 |
1891332763 | Glorious Home Care Service LLC | Home Health | 5637 Indian Hill Dr, Arlington, TX 76018-2428 | 2019-12-10 |
1962048942 | Lhcg Cxxxvii, LLC | Home Health | 2225 E Randol Mill Rd Ste 400, Arlington, TX 76011-6324 | 2019-11-25 |
1083256028 | Home Is Love Home Healthcare, LLC | Home Health | 575 12th Road S, Apt 231, Arlington, VA 22202 | 2019-10-10 |
Find all providers in ARLINGTON |
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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.