Crystal Oaks of Pinellas, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF130470981 Issued in FL

Legal business name

CRYSTAL OAKS OF PINELLAS, LLC

Doing business as

Crystal Oaks of Pinellas

Practice address

6767 86TH Avenue North
Pinellas Park, FL 33782

Phone

(727) 548-5566

Fax

(727) 548-6644

NPI assigned

Oct 10, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Steven D Womack

Title

Managing Member

Phone

(828) 324-8898

Specialties & licenses 1

Addresses

Other names 1

• Crystal Oaks of Pinellas Doing business as

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1194977926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3343",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286033343",
            "telephone_number": "828-324-8898",
            "fax_number": "828-322-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 86TH AVENUE NORTH",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "33782",
            "telephone_number": "727-548-5566",
            "fax_number": "727-548-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL OAKS OF PINELLAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "828-324-8898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130470981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Oaks of Pinellas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marlena Susan Crosby, B.S.
• Sara E Crosswhite, MA
• Cynthia Cruz, RBT
• Lizabelle Ortiz Cruz, OTL/R
• Melissa Rosario Cruz, APRN
• Natalie Marie Cuddy
• Rachel Curry
• Kevin Curtin
• Laurie Czarnetzky
• D.J.F. Hearing, Inc.

• Skilled Nursing Facility in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.