Crystal Care Center of Mansfield Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CRYSTAL CARE CENTER OF MANSFIELD INC.

Practice address

1159 Wyandotte Ave.
Mansfield, OH 44906-1940

Phone

(419) 747-2666

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Jerry Smith

Title

Owner

Phone

(419) 747-2666

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Skilled nursing facility certification: CCN 365945

Legal name

CRYSTAL CARE CENTER OF MANSFIELD INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 30, 1993

Last certification

Aug 28, 2024

Beds

74

Ownership / control type

Partnership

Multi-facility organization

CRYSTAL CARE CENTERS

Organization structure

CorporationProprietary

Incorporated

Dec 14, 1992 in OH

Enrollment address

1159 Wyandotte Ave
Mansfield, OH 44906-1940

Nursing home name

CRYSTAL CARE CENTER OF MANSFIE

Listed as

Crystal Care Center of MansfieCCN 365945

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Dec 30, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7462.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel D Burwell, DO

  • Family Medicine Physician
  • Mansfield, OH
  • NPI 1720066103
  NPD (past)
• Pradyumna Kumar Padival, M.D.,F.A.C.C.

  • Internal Medicine Physician
  • Mansfield, OH
  • NPI 1851321806
  NPD (past)
• Mark A Wood, DO

  • Family Medicine Physician
  • Galion, OH
  • NPI 1356312110
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Pradyumna Kumar Padival, M.D.,F.A.C.C.

  • Internal Medicine Physician
  • Mansfield, OH
  • NPI 1851321806

  Nursing home

  Care Compare affiliation
• Mark A Wood, DO

  • Family Medicine Physician
  • Galion, OH
  • NPI 1356312110

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720123318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 WYANDOTTE AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 WYANDOTTE AVE.",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061940",
            "telephone_number": "419-747-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CARE CENTER OF MANSFIELD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-747-2666"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0387693",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin A Crouch, M.S., OT
• Kimberly Crouse
• Ginny L. Crowl
• Ryan Crundwell, CT
• Alayna Nichole Cruz
• Crystal Care Companions
• John Nicholas Cucuras
• Haley Culler, PHARMD
• Jenifer Culler
• Judith Culler, L.P.C.

• Skilled Nursing Facility in Mansfield, OH
• Providers in Mansfield, 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.