NPIMap

Individual provider Active NPI

Crystal M Austin, CEO/ONWER

  • In Home Supportive Care Agency
  • Port Royal, SC
National Provider Identifier
1942851902
Registry record updated Sep 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
20144 Issued in SC
Practice address
1640 Ribaut Rd Apt 132
Port Royal, SC 29935-1747
Phone
(843) 929-8597
NPI assigned
Sep 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 20144 SC Primary

Addresses

Primary practice location

1640 Ribaut Rd Apt 132
Port Royal, SC 29935-1747

Mailing address

1640 Ribaut Rd Apt 132
Port Royal, SC 29935-1747
Phone (843) 929-8597

Other names 1

  • Ms. Crystal M Austin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angels Helping Hands In Home Supportive Care CurrentSince Oct 19, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1942851902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 RIBAUT RD APT 132",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351747",
            "telephone_number": "843-929-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 RIBAUT RD APT 132",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351747",
            "telephone_number": "843-929-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "CRYSTAL",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CEO/ONWER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-21",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "20144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "AUSTIN",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "CEO/OWNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Royal, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; 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.