Crystals Kids LLC

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

CRYSTALS KIDS LLC

Practice address

242 Bellflower Ave NW
Canton, OH 44708-5606

Phone

(330) 284-5702

NPI assigned

Jul 21, 2021

Organization subpart

No

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

Authorized official

Name

Crystal C SmithNPI 1871129031

Title

Owner

Phone

(330) 284-5702

Specialties & licenses 4

Addresses

Electronic endpoints 2

Practitioners 1

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

• Crystal Smith

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1871129031
  NPD Authorized official

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1760055388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 BELLFLOWER AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085606",
            "telephone_number": "330-284-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 BELLFLOWER AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085606",
            "telephone_number": "330-284-5702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Roslyn Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447085612",
            "country_code": "US",
            "telephone_number": "330-284-5702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRYSTALS KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-284-5702"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccrable0907@starkstate.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business address",
            "address_1": "242 Bellflower Ave NW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447085606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccrable0907@starkstate.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "242 Bellflower Ave NW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447085606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abbey Crouse, D.C.
• Serenity Crowley, CT
• Carlos Cruz
• Annette Petro Cryder, PH.D., PCC-S
• Crystal Clinic Orthopaedic Center, LLC
• Robert Joseph Csorba, D.O.
• Tracy K Cubbal, CDCA
• Ryan Culler
• Leslie Culver
• Sarah J Culver, PCC

• Day Training/Habilitation Specialist in Canton, OH
• Providers in Canton, OH by specialty
• Day Training/Habilitation Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.