CRYSTAL A MCLENDON NPI 1063009702

NPI Information

NPI: 1063009702
Provider Name: CRYSTAL A MCLENDON
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Individual
Address:
4805 CASTLEBAR ST NW
CANTON, OH
ZIP 44708
Phone: (330) 430-9662
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Crystal A Mclendon is an in home supportive care in Canton, OH. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. Crystal A Mclendon NPI is 1063009702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4805 CASTLEBAR ST NW
CANTON, OH
ZIP 44708-045
Phone: (330) 430-9662

The enumeration date for this NPI number is 12/29/2020 and was last updated on 11/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	347C00000X	Private Vehicle		2573442	OHIO	No
2	372600000X	Adult Companion		2573442	OHIO	No
3	3747P1801X	Technician	Personal Care Attendant			No
4	3747P1801X	Technician	Personal Care Attendant	2573442	OHIO	No
5	376J00000X	Homemaker				No
6	253Z00000X	In Home Supportive Care		2573442	OHIO	Yes
7	172A00000X	Driver				No
8	172A00000X	Driver		2573442	OHIO	No
9	251X00000X	Supports Brokerage		2573442	OHIO	No
10	253Z00000X	In Home Supportive Care				No
11	343900000X	Non-emergency Medical Transport (VAN)		2573442	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2573442	OTHER	OHIO	OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES
2	0385197	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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