Crystal Springs, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CRYSTAL SPRINGS, INC.

Practice address

38 Narrows Road
PO Box 372
Assonet, MA 02702

Phone

(508) 644-3101

Fax

(508) 644-2008

NPI assigned

Jun 12, 2007

Last updated

Mar 17, 2018By 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

Kathleen Lovenbury

Title

Chief Executive Officer

Phone

(774) 855-3176

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Crystal Springs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crystal Springs, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Assonet, MA
  • NPI 1174649081
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn Lee Davis, CCC-SLP

  • Speech-Language Pathologist
  • Assonet, MA
  • NPI 1033417373
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1881898088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 NARROWS ROAD",
            "address_2": "PO BOX 372",
            "city": "ASSONET",
            "state": "MA",
            "postal_code": "02702",
            "telephone_number": "508-644-3101",
            "fax_number": "508-644-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 NARROWS ROAD",
            "address_2": "PO BOX 372",
            "city": "ASSONET",
            "state": "MA",
            "postal_code": "02702",
            "telephone_number": "508-644-3101",
            "fax_number": "508-644-2008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Narrows Road",
            "address_purpose": "LOCATION",
            "city": "Assonet",
            "state": "MA",
            "postal_code": "02702",
            "country_code": "US",
            "telephone_number": "508-644-3101 x3315",
            "fax_number": "508-644-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRYSTAL SPRINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LOVENBURY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "774-855-3176"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1318071",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britni M Betts
• James E Byers, DMD
• Lynne Almerico Byers, DMD
• Derek M Cornetta, D.D.S.
• Crystal Springs, Inc.
• Karen Cummings, LICSW
• Kathryn Lee Davis, CCC-SLP
• Derek M Cornetta, DDS, PC
• Brian C Gamboa
• Erin Gilhooly-Smith, M.S. CCC-SLP

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Assonet, MA
• Providers in Assonet, MA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.