Crystal Home Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

009963 Issued in TX

Legal business name

CRYSTAL HOME HEALTHCARE

Doing business as

N/a

Practice address

2012 Wildwood Ridge Dr
Missouri City, TX 77489-3066

Phone

(281) 384-5366

Fax

(281) 403-2806

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Nneka Ezeude, BSN

Title

RN, Adm/Don

Phone

(281) 384-5366

Specialties & licenses 1

Addresses

Other names 1

• N/A Doing business as

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1336230929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 WILDWOOD RIDGE DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893066",
            "telephone_number": "281-384-5366",
            "fax_number": "281-403-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 WILDWOOD RIDGE DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893066",
            "telephone_number": "281-384-5366",
            "fax_number": "281-403-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "EZEUDE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "NNEKA",
        "authorized_official_title_or_position": "RN, ADM/DON",
        "authorized_official_telephone_number": "281-384-5366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean T Croft, MPT
• Tarsha Crummedyo
• Allea Cruz-Arrieta
• Brandant Isaac Cruz, D.C.
• Crystal Health Services
• CSL Ocm 2016, LLC (The Avenues of Fort Bend)
• Ctel, LLC (CTEL Home Health Services)
• Karyn-Anne B. Cumberbatch, MD
• Evony Cunningham
• Pamela H Cunningham

• Home Health Agency in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.