Organization Active NPI

Christal Home Healthcare Agency

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1841561636
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHRISTAL HOME HEALTHCARE AGENCY
Practice address
16845 Livernois Ave
Detroit, MI 48221-3037
Phone
(313) 342-1006
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Sheryl CarsonNPI 1871975870
Title
Owner
Phone
(313) 790-4032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16845 Livernois Ave
Detroit, MI 48221-3037

Mailing address

6795 Glenway Dr
West Bloomfield, MI 48322-3910
Phone (313) 790-4032

National Provider Directory

National Provider Directory

Locations

16845 Livernois Ave
Detroit, MI 48221
Phone (313) 342-1006

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1841561636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 GLENWAY DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223910",
            "telephone_number": "313-790-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16845 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213037",
            "telephone_number": "313-342-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTAL HOME HEALTHCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-790-4032"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.