Organization Active NPI

Crystal Rivers in Home Care

  • In Home Supportive Care Agency
  • Pensacola, FL
National Provider Identifier
1699503169
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CRYSTAL RIVERS IN HOME CARE
Practice address
7072 Brylington Blvd
Pensacola, FL 32526-8410
Phone
(850) 512-7835
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Crystal Rivers
Title
Operator
Phone
(850) 512-7835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7072 Brylington Blvd
Pensacola, FL 32526-8410

Mailing address

7072 Brylington Blvd
Pensacola, FL 32526-8410
Phone (850) 512-7835

Other names 2

  • CRHC Doing business as
  • Crystal Rivers In Home Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1699503169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7072 BRYLINGTON BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325268410",
            "telephone_number": "850-512-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7072 BRYLINGTON BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325268410",
            "telephone_number": "850-512-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL RIVERS IN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "850-512-7835"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crystal Rivers In Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.