NPIMap

Organization Active NPI

Crystal Logistics Transportation and Home Health Care Services,LLC

  • Transportation Broker
  • Worcester, MA
National Provider Identifier
1053046342
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
CRYSTAL LOGISTICS TRANSPORTATION AND HOME HEALTH CARE SERVICES,LLC
Doing business as
CRYSTAL LOGISTICS TRANSPORTATION AND HOME HEALTH CARE SERVICES,LLC
Practice address
5 Suffield St Apt 3
Worcester, MA 01610-2358
Phone
(774) 251-7885
NPI assigned
Jul 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Mr. Kizza E Kyeyune, MD
Title
Managing Director
Phone
(774) 251-7885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

5 Suffield St Apt 3
Worcester, MA 01610-2358

Mailing address

5 Suffield St Apt 3
Worcester, MA 01610-2358
Phone (774) 251-7885

Other names 1

  • CRYSTAL LOGISTICS TRANSPORTATION AND HOME HEALTH CARE SERVICES,LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1053046342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUFFIELD ST APT 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102358",
            "telephone_number": "774-251-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SUFFIELD ST APT 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102358",
            "telephone_number": "774-251-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL LOGISTICS TRANSPORTATION AND HOME HEALTH CARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "KYEYUNE",
        "authorized_official_first_name": "KIZZA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "774-251-7885",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRYSTAL LOGISTICS TRANSPORTATION AND HOME HEALTH CARE SERVICES,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.