Crisp Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CRISP HOME CARE, LLC

Practice address

525 Woodland Square Blvd
Conroe, TX 77384-2211

Phone

(936) 283-4409

NPI assigned

Oct 5, 2022

Last updated

Oct 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Saule Shyntemirova

Title

Certified Senior Care Manager

Phone

(832) 420-1324

Specialties & licenses 2

Addresses

Other names 1

• Crisp Home Care Other name

Locations

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1508581216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26114 CROWN RANCH BLVD",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773161914",
            "telephone_number": "936-283-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WOODLAND SQUARE BLVD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773842211",
            "telephone_number": "936-283-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISP HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "SHYNTEMIROVA",
        "authorized_official_first_name": "SAULE",
        "authorized_official_title_or_position": "CERTIFIED SENIOR CARE MANAGER",
        "authorized_official_telephone_number": "832-420-1324"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crisp Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Crisp Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• In Home Supportive Care Agency in Conroe, TX
• Providers in Conroe, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.