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CRYSTAL ROSE HOME HEALTH CARE INC NPI 1659769438


NPI Information

NPI: 1659769438
Provider Name: CRYSTAL ROSE HOME HEALTH CARE, INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 05D2105062

Address:
44841 DATE AVE
LANCASTER, CA
ZIP 93534
Phone: (661) 949-8877
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CRYSTAL ROSE HOME HEALTH CARE, INC is a community behavioral health in Lancaster, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CRYSTAL ROSE HOME HEALTH CARE, INC NPI is 1659769438. The provider is registered as an organization entity type.

The provider's business location address is:

44841 DATE AVE
LANCASTER, CA
ZIP 93534-102
Phone: (661) 949-8877
Fax: (991) 949-8810

The provider's authorized official is Corinne Chavez-serrano .
The authorized official title is President Cfo and has the following contact phone number (661) 949-8877.

The CLIA number assigned to this NPI record is 05D2105062 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2015 and was last updated on 1/2/2015.


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
1251S00000XCommunity/Behavioral HealthYes

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: 5/5/2024

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