Crystal Palace Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CRYSTAL PALACE SENIOR LIVING LLC

Practice address

2320 N Sunshine Path
Crystal River, FL 34428-5810

Phone

(352) 666-4424

NPI assigned

Jul 31, 2024

Organization subpart

No

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

Authorized official

Name

Miss Christian Uzoho

Title

Owner

Phone

(352) 666-4424

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonadab Chinedu Uzoho, DO

  • Hospitalist Physician
  • Spring Hill, FL
  • NPI 1124076377
  NPD

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1295564805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N SUNSHINE PATH",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344285810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 N SUNSHINE PATH",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344285810",
            "telephone_number": "352-666-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL PALACE SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "UZOHO",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-666-4424",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerilyn E. Cross, M.D.
• Crystal Community E N T
• Crystal Gem Manor
• Crystal Gem Manor
• Crystal Home Medical Equipment Inc
• Crystal River Anesthesia Associates, LLC
• Crystal River Behavioral Health LLC
• Crystal River Endoscopy ASC LP
• Crystal River Eye Center,LLC
• Crystal River Family Dentistry

• Assisted Living Facility in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.