Active NPI
Crystal Home Care Az LLC
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1679367510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CRYSTAL HOME CARE AZ LLC
- Practice address
- 2025 N 3Rd St Ste B300
Phoenix, AZ 85004-1471 - Phone
- (602) 345-9299
- NPI assigned
- Apr 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Menachem Shmueli
- Title
- Managing Member
- Phone
- (917) 753-9089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2025 N 3Rd St Ste B300
Phoenix, AZ 85004-1471
Mailing address
1382 Lanes Mill Rd Ste 104
Lakewood, NJ 08701-3893
National Provider Directory
National Provider DirectoryLocations
2025 N 3rd St
Ste B300
Phoenix, AZ 85004
Phone (480) 482-1838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745452800000",
"number": "1679367510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1382 LANES MILL RD STE 104",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 N 3RD ST STE B300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041471",
"telephone_number": "602-345-9299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL HOME CARE AZ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-07",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A",
"authorized_official_last_name": "SHMUELI",
"authorized_official_first_name": "MENACHEM",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "917-753-9089"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.