Crystals Promise LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Madison, OH
NPI 1093593006 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1093593006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- CRYSTALS PROMISE LLC
- Practice address
- 6250 N Watling Way
Madison, OH 44057-1957 - Phone
- (440) 415-2224
- NPI assigned
- Sep 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Mrs. Crystal Ann Ernest
- Title
- Doo/Owner
- Phone
- (440) 415-2224
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes | ||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
6250 N Watling Way
Madison, OH 44057-1957
Mailing address
6250 N Watling Way
Madison, OH 44057-1957
Phone (440) 415-2224
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All providers in Madison, OH · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.