Active NPI
Crystal Life Home Care, LLC
- In Home Supportive Care Agency
- Philadelphia, PA
National Provider Identifier
1356253827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CRYSTAL LIFE HOME CARE, LLC
- Practice address
- 2752 Clayton St
Philadelphia, PA 19152-2103 - Phone
- (267) 312-1602
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gertrude Danquah
- Title
- Ceo
- Phone
- (267) 312-1602
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
2752 Clayton St
Philadelphia, PA 19152-2103
Mailing address
2752 Clayton St
Philadelphia, PA 19152-2103
Phone (267) 312-1602
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Technician
- Philadelphia, PA
- NPI 1831861277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1356253827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2752 CLAYTON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191522103",
"telephone_number": "267-312-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2752 CLAYTON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191522103",
"telephone_number": "267-312-1602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL LIFE HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-21",
"certification_date": "2026-09-20",
"status": "A",
"authorized_official_last_name": "DANQUAH",
"authorized_official_first_name": "GERTRUDE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "267-312-1602"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.