Crystal Ethan Support Care LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

CRYSTAL ETHAN SUPPORT CARE LLC

Practice address

7517 Providence Woods CT
West Chester, OH 45069-1172

Phone

(513) 371-0956

NPI assigned

Dec 23, 2025

Organization subpart

No

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

Authorized official

Name

Olufemi Emmanuel Bewaji

Title

Owner

Phone

(513) 371-0956

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1083579833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 PROVIDENCE WOODS CT",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691172",
            "telephone_number": "513-371-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 PROVIDENCE WOODS CT",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691172",
            "telephone_number": "513-371-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL ETHAN SUPPORT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "BEWAJI",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-371-0956"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail B. Croall, MD
• Kellie Cronley, MA, SLP-CCC
• Anna Croucher
• Autumn N Crowthers
• Raven Cruz Loaiza, MSW,LISW
• Cassandra Cuhran
• Brent Gregory Cullen, DC
• Kaitlyn Cullen
• Ruth Culpepper, NP
• Kaitlyn Joy Cunningham, LSW

• Homemaker in West Chester, OH
• Providers in West Chester, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.