Organization Active NPI

Crystal Clear Home Care

  • Home Health Agency
  • Wilmington, NC
National Provider Identifier
1811312580
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CRYSTAL CLEAR HOME CARE
Practice address
925 S Kerr Ave Ste L
Wilmington, NC 28403-4354
Phone
(704) 579-9314
NPI assigned
Mar 4, 2014
Last updated
Mar 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Ms. Jean Sabrina Cureton
Title
Chief Executive Officer
Phone
(704) 579-9314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

925 S Kerr Ave Ste L
Wilmington, NC 28403-4354

Mailing address

925 S Kerr Ave Ste L
Wilmington, NC 28403-4354

National Provider Directory

National Provider Directory

Locations

925 S Kerr Ave
Ste L
Wilmington, NC 28403
Phone (704) 579-9314

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1811312580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 S KERR AVE STE L",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S KERR AVE STE L",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034354",
            "telephone_number": "704-579-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "CURETON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "SABRINA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "704-579-9314",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.