Crystal-Heritage Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CRYSTAL-HERITAGE CARE LLC

Practice address

1105 Schrock Rd Ste 516
Columbus, OH 43229-1182

Phone

(614) 468-1199

NPI assigned

May 19, 2019

Organization subpart

No

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

Authorized official

Name

Mayowa M Adeyele

Title

President

Phone

(614) 680-6798

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 369294

Legal name

CRYSTAL-HERITAGE CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 25, 2022

Last certification

Feb 11, 2022

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Feb 25, 2019 in OH

Enrollment address

6161 Busch Blvd. Ste 079
Columbus, OH 43229
HHA Branch

Listed as

Crystal Heritage Care LLCCCN 369294 · All quality measures

Ownership

Proprietary

Certified

Feb 25, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1154987717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SCHROCK RD STE 516",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291182",
            "telephone_number": "614-468-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SCHROCK RD STE 516",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291182",
            "telephone_number": "614-468-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL-HERITAGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-19",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "ADEYELE",
        "authorized_official_first_name": "MAYOWA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-680-6798"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.