Crystal Seasons Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CRYSTAL SEASONS ALF LLC

Doing business as

Crystal Seasons Assisted Living

Practice address

222 S Murphy St
Lake Crystal, MN 56055-2128

Phone

(516) 410-5209

NPI assigned

May 15, 2015

Organization subpart

No

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

Authorized official

Name

Josh Legum

Title

Manager

Phone

(516) 410-5209

Specialties & licenses 1

Addresses

Other names 1

• Crystal Seasons Assisted Living Doing business as

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1992183461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4044 GREENWOOD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761942",
            "telephone_number": "516-410-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S MURPHY ST",
            "city": "LAKE CRYSTAL",
            "state": "MN",
            "postal_code": "560552128",
            "telephone_number": "516-410-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL SEASONS ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "LEGUM",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-410-5209"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Seasons Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald Del Campbell Jr., DDS
• City of Lake Crystal (Lake Crystal Ambulance Service)
• Crystal Seasons Living Community
• Crystal View Eye Care
• Deal Family Chiropractic & Wellness Center, P.a.
• Joseph Brian Deal, D.C.
• Ecumen

• Assisted Living Facility in Lake Crystal, MN
• Providers in Lake Crystal, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.