NPIMap

Organization Active NPI

Crystal Hearts Healthcare Services

  • In Home Supportive Care Agency
  • Corona, CA
National Provider Identifier
1477031862
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CRYSTAL HEARTS HEALTHCARE SERVICES
Doing business as
Crystal Hearts Healthcare Services
Practice address
7080 Estrella St
Corona, CA 92880-3304
Phone
(951) 407-3620
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Tamarralee Crandall, RN
Title
Owner
Phone
(951) 445-0995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

7080 Estrella St
Corona, CA 92880-3304

Mailing address

7080 Estrella St
Corona, CA 92880-3304
Phone (951) 407-3620

Other names 1

  • Crystal Hearts Healthcare Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1477031862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 ESTRELLA ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803304",
            "telephone_number": "951-407-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 ESTRELLA ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803304",
            "telephone_number": "951-407-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL HEARTS HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "TAMARRALEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-445-0995",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Hearts Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.