Crystal Joy Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9166H Issued in AZ

Legal business name

CRYSTAL JOY CARE HOME

Practice address

6088 N 85TH Ave
Glendale, AZ 85305-2565

Phone

(623) 824-8496

Fax

(623) 398-7617

NPI assigned

Nov 12, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Susan B Balanon, RN/BSN

Title

Owner/Manager

Phone

(623) 824-8496

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1033549001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6088 N 85TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052565",
            "telephone_number": "623-824-8496",
            "fax_number": "623-398-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6088 N 85TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052565",
            "telephone_number": "623-824-8496",
            "fax_number": "623-398-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL JOY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "BALANON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "623-824-8496",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN/BSN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9166H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa M Crull, N.P.
• Angel Cruz, DO
• Angelica Cruz
• Ceferino A Cruz, DO
• Victoria Rose Cruz, B.S.
• Fred H Cucher, MD
• Robert Cucitrone, D.C.
• Yanira Abigail Cuellar Marroquin, NURSE
• Ryan D Cullinan, D.D.S.
• Joshua Culling, SLPA

• Assisted Living Facility in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.