CRYSTAL-HERITAGE CARE LLC
NPI 1154987717
Home Health in Columbus, OH

Active since May 19, 2019CLIA 36D2218538 · Waiver
1105 SCHROCK RD STE 516, COLUMBUS, OH 43229(614) 468-1199 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2023, May 19, 2019 (2 updates tracked since 2019).

About Crystal-heritage Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL-HERITAGE CARE LLC (NPI 1154987717) is a healthcare organization registered as a home health in Columbus, Ohio and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Mayowa M Adeyele, President, as its authorized official.

NPPES Registry Identity

NPI1154987717
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCRYSTAL-HERITAGE CARE LLC
Location Address1105 SCHROCK RD STE 516Columbus, OH 43229-1182
Mailing Address1105 Schrock Rd Ste 516Columbus, OH 43229-1182 · (614) 468-1199
Organization SubpartNo
Authorized OfficialMayowa M AdeyelePresident · (614) 680-6798
Enumeration DateMay 19, 2019
Last NPPES UpdateOctober 30, 20252 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
NPI 1154987717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1105 SCHROCK RD STE 516, Columbus, OH 43229

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2218538

Crystal Heritage Care · Columbus, OH
Active · expires Mar 28, 2027
CLIA Number36D2218538
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorMichele Whaley
Laboratory Phone(614) 468-1199
Laboratory LocationCrystal Heritage Care1105 Schrock Road, Suite 516, Columbus, OH 43229
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal-Heritage Care LLC's NPI number?

The NPI number for Crystal-Heritage Care LLC is 1154987717. It was assigned to this organization in the NPPES registry on May 19, 2019.

Where is Crystal-Heritage Care LLC located?

Crystal-Heritage Care LLC is located at 1105 Schrock Rd Ste 516, Columbus, OH 43229. The listed phone number is (614) 468-1199.

What is Crystal-Heritage Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Crystal-Heritage Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2218538) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crystal-Heritage Care LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Crystal-Heritage Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal-Heritage Care LLC was last updated on October 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.