Crystal L Banks

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

9481 Issued in VA

Practice address

3609 Blaine St
Portsmouth, VA 23703-3117

Phone

(175) 723-0134

NPI assigned

Dec 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grateful Community Services, LLC

  • Developmentally Disabled Services Day Training Agency
  • Portsmouth, VA
  • NPI 1487424131

  In Home Supportive Care

  NPD Authorized official
• Grateful Community Servicestransportation

  • Non-emergency Medical Transport (VAN)
  • Portsmouth, VA
  • NPI 1710846357
  NPD Authorized official

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1033987649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 BLAINE ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033117",
            "telephone_number": "175-723-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 BLAINE ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033117",
            "telephone_number": "175-723-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "9481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Michael Baldwin, M.D.
• Brad R Ballard, MD
• Kerrie Boland Balmores, PSY.D.
• Luke Hodgson Balsamo, MD
• Bambis Haus of Love,LLC
• Taylor Banks, M.D.
• Graeme Bannerman, NP
• Barbara Banze
• Barbara Compassionate Homecare LLC
• Crystal Verenell Barber, RD

• In Home Supportive Care Agency in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.