Crystal Care Pca Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CRYSTAL CARE PCA INC

Practice address

6461 Lyndale Ave S
Richfield, MN 55423-1405

Phone

(612) 861-4272

Fax

(612) 866-2290

NPI assigned

Jan 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sally Gail Knutson, RN MA

Title

Administrator

Phone

(612) 861-4272

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1992783955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6461 LYNDALE AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231405",
            "telephone_number": "612-861-4272",
            "fax_number": "612-866-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6461 LYNDALE AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231405",
            "telephone_number": "612-861-4272",
            "fax_number": "612-866-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CARE PCA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-861-4272",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN MA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macarena Mayerle Corral, PSYD, LP
• Antony B Costanzo, D.C.
• Sherri Ann Cote, LICSW
• Kari Lynn Cox, PT
• Jalissa Cross
• Crystal Care Support Services, Inc
• Curantis HHC LLC
• Custom RX Compounding Pharmacy
• Custom RX LLC
• Rebecca M. Dahlberg, M.D.

• Home Health Agency in Richfield, MN
• Providers in Richfield, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.