Crystal Lore' Close

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

0082858 Issued in OH

Practice address

1287 Township Road 221
Marengo, OH 43334-9455

Phone

(740) 747-2408

NPI assigned

Sep 4, 2014

Last updated

Sep 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1811398258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 TOWNSHIP ROAD 221",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349455",
            "telephone_number": "740-747-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 TOWNSHIP ROAD 221",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349455",
            "telephone_number": "740-747-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSE",
        "first_name": "CRYSTAL",
        "middle_name": "LORE'",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "0082858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104665690499",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caring Angel (michelle robinson)
• Hannah Casey
• Casaundra R Cimino
• Shannon N Claus
• Crystal Cleveland
• Deborah Colgan, CNA
• Trudy Lynn Cummins, L.P.N.
• Laura Davis-Rowley, PHARMD
• Diversified Medical Products, Inc.
• Amanda Ferguson

• Home Health Aide in Marengo, OH
• Providers in Marengo, OH by specialty
• Home Health Aide in Ohio

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