CRYSTAL HEALTH CARE SERVICES, INC NPI 1003032947
Nursing Care in Charlotte, NC

Organization Nursing Care

About CRYSTAL HEALTH CARE SERVICES, INC

Crystal Health Care Services, Inc is a provider established in Charlotte, North Carolina specializing in Nursing Care. The NPI number of Crystal Health Care Services, Inc is 1003032947 and was assigned on April 2007. The practitioner's primary taxonomy code is 251J00000X with license number HC3464 (NC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Ms. Kathryn Theresa White (Administrator)

NPI
1003032947
Provider NameCRYSTAL HEALTH CARE SERVICES, INC
Provider Location Address1300 BAXTER STREET SUITE 190 CHARLOTTE, NC 28204
Provider Mailing Address1300 BAXTER STREET SUITE 190 CHARLOTTE, NC 28204
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-18-2007
Last Update Date08-05-2009


Primary Taxonomy

Taxonomy Code251J00000X
ClassificationNursing Care
TypeAgencies
License No.HC3464
License StateNC
Taxonomy DescriptionA Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

Business Address

CRYSTAL HEALTH CARE SERVICES, INC
1300 BAXTER STREET
SUITE 190
CHARLOTTE, NC
ZIP 28204
Phone: (704) 334-2311
Fax: (704) 334-2310

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Mailing Address

CRYSTAL HEALTH CARE SERVICES, INC
1300 BAXTER STREET
SUITE 190
CHARLOTTE, NC
ZIP 28204
Phone: (704) 334-2311
Fax: (704) 334-2310


Authorized Official

Authorized Official NameMS. KATHRYN THERESA WHITE
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(704) 334-2311

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
3412841MEDICAID (05)NC

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003032947
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200303498
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 3 + 4 + 9 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1003032947 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376637033CRYSTAL HEALTH CARE SERVICES, INC
Organization
Nursing Care1300 BAXTER STREET SUITE 190
CHARLOTTE, NC 28204
(704) 334-2311
1548486491CRYSTAL HEALTH CARE SERVICES INC
Organization
Nursing Care1300 BAXTER STREET SUITE 190
CHARLOTTE, NC 28204
(704) 334-2311

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Crystal Health Care Services, Inc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.