CRYSTAL LAKE HEALTHCARE
NPI 1336577808
Skilled Nursing Facility in Brooklyn, NY

Active since October 21, 2013CLIA 31D0722567 · Waiver
14C 53RD ST, BROOKLYN, NY 11232(718) 567-0400 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Lake Healthcare NPPES

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

CRYSTAL LAKE HEALTHCARE (NPI 1336577808) is a healthcare organization registered as a skilled nursing facility in Brooklyn, New York and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Chavie Katz, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1336577808
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBAYVILLE HEALTHCARE LLC
Location Address14C 53RD STBrooklyn, NY 11232-2644
Mailing Address395 Lakeside BlvdBayville, NJ 08721-2807
Organization SubpartNo
Authorized OfficialChavie KatzBilling Manager · (718) 567-0400
Enumeration DateOctober 21, 2013
Last NPPES UpdateJuly 1, 2015
NPI 1336577808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
14C 53RD ST, Brooklyn, NY 11232

Other Names 1

Doing Business AsCrystal Lake Healthcare

Other Identifiers 1

Medicare OSCAR/certification315125

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 31D0722567

Crystal Lake Rehab Center · Bayville, NJ
Active · expires Aug 31, 2026
CLIA Number31D0722567
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSandra Lee Stenstrom
Laboratory Phone(908) 269-0500
Laboratory LocationCrystal Lake Rehab Center395 Lakeside Boulevard, Bayville, NJ 08721
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
14C 53RD ST
BROOKLYN, NY 11232

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 Bayville Healthcare LLC's NPI number?

The NPI number for Bayville Healthcare LLC is 1336577808. It was assigned to this organization in the NPPES registry on October 21, 2013. The provider is doing business as Crystal Lake Healthcare.

Where is Bayville Healthcare LLC located?

Bayville Healthcare LLC is located at 14C 53rd St, Brooklyn, NY 11232. The listed phone number is (718) 567-0400.

What is Bayville Healthcare LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Bayville Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0722567) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bayville Healthcare LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Bayville Healthcare 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 Bayville Healthcare LLC was last updated on July 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.