Krystal Home Care and Staffing Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC4235 Issued in NC

Legal business name

KRYSTAL HOME CARE AND STAFFING AGENCY LLC

Practice address

3755 Benson Dr
Raleigh, NC 27609-7386

Phone

(919) 900-7699

Fax

(919) 900-7699

NPI assigned

Jan 15, 2011

Last updated

Jan 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Aloysius Uzoma Okoro

Title

Owner

Phone

(919) 900-7699

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295049600000",
    "number": "1821393257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 BENSON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097386",
            "telephone_number": "919-900-7699",
            "fax_number": "919-900-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 BENSON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097386",
            "telephone_number": "919-900-7699",
            "fax_number": "919-900-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTAL HOME CARE AND STAFFING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-15",
        "last_updated": "2011-01-15",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "ALOYSIUS",
        "authorized_official_middle_name": "UZOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-900-7699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Kruse, M.D.
• Gabriela Perez Krusell, PT, DPT
• Aubrey Claire Kruszka, LCSW-A
• Lauree Susan Kruyer, PAC
• Erina Kryeziu
• Brooke Krzos, LCMHC
• Der Christine Ksor, NP
• Nicholas Ryan Kubaska, PHARMD
• Charles B Kubasko, DC
• Steven Paul Kubicki, M.D.

• Home Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2011; 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.