CRT Home LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

CRT HOME LLC

Practice address

1026 Cumberland Dr
Shelby, NC 28150-3610

Phone

(704) 300-0536

NPI assigned

Dec 3, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Kelly Brown, LPN

Title

Owner

Phone

(704) 300-0536

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1730726381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 CUMBERLAND DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503610",
            "telephone_number": "704-300-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 CUMBERLAND DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503610",
            "telephone_number": "704-300-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-300-0536",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CRTLLC65242@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct messaging adddress",
            "address_1": "1026 Cumberland Dr",
            "city": "Shelby",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281503610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy C. Croft, FNP
• Gaylain Monya Crosby, LPA
• John Everett Crosland, D.D.S.
• Crossroads Treatment Center of Cleveland County, PC
• Gracie Pitchford Crowder, FNP
• Matthew Anthony Culicerto, DC
• Amber Dawn Curles, PTA
• Elizabeth Dahl
• Kristina Joann Dale, PTA
• Alexis Williams Damish-Kemp, DO

• Licensed Practical Nurse in Shelby, NC
• Providers in Shelby, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.