Crystal Swango

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

7326 State Route 19 Unit 5415
Unit 1/Lot 22
Mount Gilead, OH 43338-4333

Phone

(419) 210-4503

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1508456773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7326 STATE ROUTE 19 UNIT 5415",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433389349",
            "telephone_number": "419-210-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7326 STATE ROUTE 19 UNIT 5415",
            "address_2": "UNIT 1/LOT 22",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433384333",
            "telephone_number": "419-210-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANGO",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Mount Gilead, OH
• Providers in Mount Gilead, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.