CRYSTAL PROPERTIES, INC (NPI# 1952471401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952471401 |
| Entity Type | Organization |
| Organization Name | CRYSTAL PROPERTIES, INC |
| Other Organization Name | GENESIS SENIOR LIVING CENTER |
| Practice Address |
5608 Sw 9th St Des Moines IA 50315-5003 |
| Practice Telephone | 5152230758 |
| Practice Fax Number | 5152239499 |
| Mailing Telephone | 5152230758 |
| Mailing Fax Number | 5152239499 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RANDY LANGE (OWNER) |
| Authorized Official Telephone | 5152230758 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 770707 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BCBS PROVIDER # | 65175 | 01 |
| IA | 0807354 | 05 |
| Other Name | Type Code |
|---|---|
| Genesis Senior Living Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CRYSTAL PROPERTIES, INC. | 8450 Hickman Rd Ste 6, Clive, IA 50325 |
| Street Address |
5608 SW 9TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50315-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376106302 | Nadia Clark | Nurse Practitioner | 5608 Sw 9th St, Des Moines, IA 50315-5003 | 2019-04-16 |
| 1942768023 | Christina Lynn Aguilar | Nurse Practitioner | 5608 Sw 9th St, Des Moines, IA 50315-5003 | 2019-03-07 |
| 1194213470 | Ninth Street Operations, LLC | Skilled Nursing Facility | 5608 Sw 9th St, Des Moines, IA 50315-5003 | 2018-04-23 |
| 1043678311 | Sara Connor | Occupational Therapy Assistant | 5608 Sw 9th St, Des Moines, IA 50315-5003 | 2016-02-02 |
| 1063878726 | Ann Wetz | Speech-Language Pathologist | 5608 Sw 9th St, Des Moines, IA 50315-5003 | 2016-01-12 |
| 1518248731 | Dsm Healthcare Management | Skilled Nursing Facility | 5608 Sw 9th St, Des Moines, IA 50315-5003 | 2011-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326580606 | Stacie Brown | Specialist/Technologist | 1201 Herold Ave, Des Moines, IA 50315 | 2016-11-17 |
| 1245581560 | Stroke Detections Plus, Inc. | Early Intervention Provider Agency | 2407 Sw 9th Street, Des Moines, IA 50315 | 2012-09-26 |
| 1922371533 | Ronald D. Sanford | Durable Medical Equipment & Medical Supplies | 1920-s.w. Frazier, Des Moines, IA 50315 | 2012-02-13 |
| 1811155203 | Katherine M Schultz | Occupational Therapy Assistant | 4911 Sw 19th, Des Moines, IA 50315 | 2008-06-02 |
| 1255599635 | Lisa Kaye Malsom | Physical Therapist | 4911 Sw 19th Street, Des Moines, IA 50315 | 2008-06-02 |
| 1346445350 | Herbert Lawrence Notch | Psychologist | 7510 Sw 9th, Des Moines, IA 50315 | 2007-06-19 |
| 1881749893 | Emergency Dental Care Usa | Dentist | 4409 Sw 9th St, Des Moines, IA 50315 | 2007-01-23 |
| 1114947132 | Richard Alan Lyman | Dentist | 6100 Sw 9th St, Des Moines, IA 50315 | 2006-07-20 |
| 1487603684 | Eye Care of Iowa PC | Optometrist | 200 Army Post Rd, Des Moines, IA 50315 | 2006-05-08 |
| 1437115920 | Hearing Aid Centers Inc. | Hearing Aid Equipment | 1219 Sw Army Post Rd, Des Moines, IA 50315 | 2006-04-24 |
| Find all providers in zip 50315 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023679057 | Bcp Union Park, LLC | Skilled Nursing Facility | 2401 E 8th St, Des Moines, IA 50316-1717 | 2019-06-20 |
| 1891876306 | Humangood Washington | Skilled Nursing Facility | 23600 Marine View Dr S, Des Moines, WA 98198 | 2006-10-18 |
| 1831209279 | Evangelical Retirement Homes, Inc. | Skilled Nursing Facility | 2571 Guthrie Ave, Des Moines, IA 50317-3019 | 2006-08-30 |
| 1114972577 | Five Star Quality Care-ia Inc | Skilled Nursing Facility | 2401 East 8th Street, Des Moines, IA 50316-1717 | 2006-05-24 |
| 1790745388 | Centers for Long Term Care of Iowa, Inc | Skilled Nursing Facility | 233 University Ave, Des Moines, IA 50314-3124 | 2006-03-27 |
| 1508843947 | Wesley Retirement Services, Inc. | Skilled Nursing Facility | 3520 Grand Ave, Des Moines, IA 50312-4359 | 2005-12-28 |
| 1962493247 | Stafford Healthcare, Seatac, LLC | Skilled Nursing Facility | 2800 South 224th St, Des Moines, WA 98198-5132 | 2005-11-04 |
| 1447248372 | Calvin Community | Skilled Nursing Facility | 4210 Hickman Rd, Des Moines, IA 50310-3333 | 2005-10-13 |
| 1568450807 | Wesley Homes Des Moines LLC | Skilled Nursing Facility | 1122 S 216th St, Des Moines, WA 98198-8301 | 2005-10-11 |
| 1821090424 | Abcm Corporation | Skilled Nursing Facility | 701 Riverview St, Des Moines, IA 50316-2312 | 2005-08-12 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50315 |
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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.