Crystal Health Care Services Inc

LBN: Crystal Health Care Services Inc
Crystal Health Care Services Inc is an health care organization with primary practice located at 1300 Baxter Street Suite 190, Charlotte NC 28204-3804. The organization recently has only one registered license in Agencies / Nursing Care, which is considered as the primary health care specialty. Crystal Health Care Services Inc can be contacted via phone (704) 334-2311, or through White, Kathryn Theresa via phone (704) 334-2311.

Contact Information

Primary practice address
1300 Baxter Street Suite 190 Charlotte NC 28204-3804
Phone: (704) 334-2311
Fax: (704) 334-2310
Website:
Map and Directions
Authorized official contact:
Name: White, Kathryn Theresa
Phone: (704) 334-2311

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X HC3464 North Carolina

Profile Details

NPI number 1548486491
LBN Legal business name Crystal Health Care Services Inc
DBA Doing business as
Authorized official White, Kathryn Theresa
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Aug 5th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548486491 NPPES
North Carolina MEDICAID 6601550

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