Crystal Care & Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CRYSTAL CARE & REHABILITATION CENTER, LLC

Doing business as

Crystal Care Center

Practice address

3245 Vera Cruz Ave N
Minneapolis, MN 55422-2708

Phone

(763) 535-6260

NPI assigned

Oct 22, 2013

Last updated

Apr 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Stern

Title

Cfo

Phone

(917) 364-4009

Specialties & licenses 1

Addresses

Other names 1

• Crystal Care Center Doing business as

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1326476748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E 32ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344441",
            "telephone_number": "917-364-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 VERA CRUZ AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554222708",
            "telephone_number": "763-535-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CARE & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "917-364-4009"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Damien Cruz, PA-C
• Reyna M Cruz
• Treana Danielle Cruz, LICSW
• Amanda Cruze, OTR.L
• Tim Cryer
• Crystal Care Services
• Luis Alberto Cuadrado Miranda
• Austin Cudak
• Terefech Elias Cudd-Zamora
• Veronica Cudo

• Skilled Nursing Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.