Med-Systems of Portsmouth LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4720 Issued in OH

Legal business name

MED-SYSTEMS OF PORTSMOUTH LLC

Doing business as

Crystal Care Center

Practice address

1319 Spring St
Portsmouth, OH 45662-3715

Phone

(740) 354-6619

NPI assigned

Mar 13, 2013

Organization subpart

No

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

Authorized official

Name

Michael Daffin

Title

President

Phone

(740) 354-6619

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crystal Care Center Doing business as

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1669713897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 SPRING ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623715",
            "telephone_number": "740-354-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SPRING ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623715",
            "telephone_number": "740-354-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-SYSTEMS OF PORTSMOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "DAFFIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-354-6619"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "4720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081283",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica McWharter, APRN
• Kayla Mead, CDCA
• Jeffrey Payton Meade
• Kasey Meade
• Kayla Meade
• Medic 1
• Alec Meeker
• Aaron Michael Meenach, NP
• Brittany Nichole Meenach, L.P.N
• Jamie Mehaffey

• Skilled Nursing Facility in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.