Crystal Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

19677111 Issued in MO

Legal business name

CRYSTAL HOME CARE LLC

Practice address

4001 Blue Pkwy Ste 101
Kansas City, MO 64130-2350

Phone

(816) 474-1814

Fax

(816) 474-1861

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Mona B Ali, RN

Title

President

Phone

(816) 474-1814

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1962691147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 BLUE PKWY STE 101",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302350",
            "telephone_number": "816-474-1814",
            "fax_number": "816-474-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 BLUE PKWY STE 101",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302350",
            "telephone_number": "816-474-1814",
            "fax_number": "816-474-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-474-1814",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "19677111",
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI EMPLOYER IDENTIF",
            "identifier": "19677111",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany L Cruse, APRN
• Adriana Cruz-Walker, DPT
• Ashley Marie Cruz, BCBA
• Jose Maria Concha Cruz, M.D.
• Devon Nicole Cruzan, MD
• Truc Thanh Cu
• Alexis Anne Cucchiara, DO
• Lauren Cuda, RD
• Paul Cuddy, PHARM.D.
• Molly Ellen Cudney

• Home Health Agency in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.