Crystal Nursing Service

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

30211911 Issued in FL

Legal business name

CRYSTAL NURSING SERVICE

Practice address

980 N Federal Hwy
110
Boca Raton, FL 33432-2708

Phone

(561) 409-8260

Fax

(561) 409-8250

NPI assigned

Feb 20, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Kirk Thompson

Title

VP / Administrator

Phone

(561) 409-8260

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1164922613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N FEDERAL HWY",
            "address_2": "110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322708",
            "telephone_number": "561-409-8260",
            "fax_number": "561-409-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 N FEDERAL HWY",
            "address_2": "110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322708",
            "telephone_number": "561-409-8260",
            "fax_number": "561-409-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL NURSING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "VP / ADMINISTRATOR",
        "authorized_official_telephone_number": "561-409-8260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30211911",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "30211911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David John Crutchley, PH.D.
• Yaniela Barbara Cruz Garcia
• Brittney Nicole Cruz
• Danielle Cruz, APRN
• Samantha Marie Cruz
• Ctaa, LLC
• Daniel Benjamin Cuadra Jr., ATC
• Jose Edgel Pendon Cubar, RPT
• Edwin Cubillos
• Ayna Cuddihy, MS.ED., BCBA., LBA

• Home Health Aide in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.