Organization Active NPI

Crystal Home Care Az LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1679367510
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Apr 24, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.