Organization Active NPI

Crystal Care Companions

  • Home Health Agency
  • Mansfield, OH
National Provider Identifier
1356545990
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CRYSTAL CARE COMPANIONS
Practice address
1159 Wyandotte Ave
Mansfield, OH 44906-1940
Phone
(419) 756-5800
Fax
(419) 756-0028
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Mrs. Patricia Joy Fisher
Title
Owner
Phone
(419) 756-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1159 Wyandotte Ave
Mansfield, OH 44906-1940

Mailing address

1159 Wyandotte Ave
Mansfield, OH 44906-1940
Phone (419) 756-5800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1356545990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 WYANDOTTE AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061940",
            "telephone_number": "419-756-5800",
            "fax_number": "419-756-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 WYANDOTTE AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061940",
            "telephone_number": "419-756-5800",
            "fax_number": "419-756-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CARE COMPANIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-756-5800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.