Crystal Clear Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CRYSTAL CLEAR CARE

Practice address

3756 Shenfield Dr
Union City, GA 30291-7181

Phone

(470) 456-9866

NPI assigned

Apr 20, 2022

Last updated

Apr 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Byrd

Title

Owner

Phone

(470) 456-9866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1073256657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 SHENFIELD DR",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302917181",
            "telephone_number": "470-456-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 SHENFIELD DR",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302917181",
            "telephone_number": "470-456-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-456-9866"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jon P Cox, D.O.
• Rebecca C Crane, LPC
• Renee Anne Critten-Young
• Stacie Currie
• Winston Daniels
• Tyrone Davis
• Joy Dawson
• Retina Deon Dawson, LCSW

• Home Health Agency in Union City, GA
• Providers in Union City, GA by specialty
• Home Health Agency in Georgia

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