Crystal Cove Care Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CRYSTAL COVE CARE INC.

Practice address

6795 Brentwood Dr
Huntington Beach, CA 92648-6640

Phone

(714) 593-2687

Fax

(714) 333-4353

NPI assigned

Jan 31, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Calisher

Title

Licensee/Administrator

Phone

(714) 390-4047

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1508320813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 BRENTWOOD DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486640",
            "telephone_number": "714-593-2687",
            "fax_number": "714-333-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 BRENTWOOD DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486640",
            "telephone_number": "714-593-2687",
            "fax_number": "714-333-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL COVE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "CALISHER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "714-390-4047",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Cruz
• Monica Cruz
• Rieshel Cruz
• Stephanie Cruz, PTA
• Cryocareusa
• Crystal Cuchilla
• Katherine Yvette Cuellar-Lei, LMFT
• Katarina Cummings, OTD, OTR/L
• Sara Rebecca Cummins
• Katherine Michelle Cunha, NP

• Assisted Living Facility in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.