Crystal's Senior Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CRYSTAL'S SENIOR SERVICES LLC

Doing business as

Crystal's Senior Services

Practice address

1945 Porter St
San Bernardino, CA 92407-6539

Phone

(909) 887-1904

Fax

(909) 887-9734

NPI assigned

Aug 31, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Crystal Douglas

Title

Founder / Ceo

Phone

(909) 887-1904

Specialties & licenses 1

Addresses

Other names 1

• Crystal's Senior Services Doing business as

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1568743870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 PORTER ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924076539",
            "telephone_number": "909-887-1904",
            "fax_number": "909-887-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 PORTER ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924076539",
            "telephone_number": "909-887-1904",
            "fax_number": "909-887-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL'S SENIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "FOUNDER / CEO",
        "authorized_official_telephone_number": "909-887-1904",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal's Senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Cruz
• Natasha Cruz, M.S. ; MFT INTERN
• Stephanie Cruz
• Zoraya Cruz I
• Crystal Ridge Recovery
• Peter Csapoczi, MD
• Myriam Cubillo, LCSW
• Iliana Cuellar, D.D.S
• Moses Rueben Cuellar
• Amanda Cuevas

• In Home Supportive Care Agency in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.