Feisal Crumby Jr.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

4736 N Teal LN
Oregon, OH 43616-1674

Phone

(419) 360-7994

NPI assigned

Mar 29, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heart on Ice

  • Adult Day Care Clinic/Center
  • Oregon, OH
  • NPI 1952156739

  Day Training, Developmentally Disabled Services

  NPD Authorized official

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1609627439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 N TEAL LN",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436161674",
            "telephone_number": "419-360-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 N TEAL LN",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436161674",
            "telephone_number": "419-360-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMBY",
        "first_name": "FEISAL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Jade Cortez, CPHT
• Robert Cousino
• Michelle Coutcher, LISW-S
• Jeffrey Allen Crawford, D.C.
• John Dominic Credico, M.D.
• Jaime Ann Csehi, M.ED, M.A. CCC-SLP
• Maria Luisa Salvador Cuevas, M.D.
• David Babajide Da Rocha Afodu, M.D
• Isam Daboul, M.D.
• Isra Dar, PMHNP-BC

• Adult Day Care Clinic/Center in Oregon, OH
• Providers in Oregon, OH by specialty
• Adult Day Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.