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CRYSTAL MANOR ASSISTED LIVING
NPI 1407931009
Assisted Living Facility in Riesel, TX

Active since October 25, 2006
6016 W LAKE CREEK RD, RIESEL, TX 76682(254) 875-9525(254) 875-9526 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Manor Assisted Living NPPES

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

CRYSTAL MANOR ASSISTED LIVING (NPI 1407931009) is a healthcare organization registered as an assisted living facility in Riesel, Texas and active in the NPI registry since October 2006. The organization lists Jeannette R Black, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1407931009
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameJEANNETTE R BRANTLEY
Location Address6016 W LAKE CREEK RDRiesel, TX 76682-3504
Mailing Address6016 W Lake Creek RdRiesel, TX 76682-3504 · (254) 875-9525 · Fax (254) 875-9526
Phone(254) 875-9525
Fax(254) 875-9526
Organization SubpartNo
Authorized OfficialJeannette R BlackOwner/administrator · (254) 875-9525
Enumeration DateOctober 25, 2006
Last NPPES UpdateJune 16, 2008
✔ NPI 1407931009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in TX · 000598
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
6016 W LAKE CREEK RD, Riesel, TX 76682
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Other Names 1

Doing Business AsCrystal Manor Assisted Living

Other Providers at the Same Location NPPES

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

LINKEN HEALTH CARE & ASSOCIATES LLC
Skilled Nursing Facility
6016 W LAKE CREEK RD
RIESEL, TX 76682
McLennan County (817) 876-1581

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 Jeannette R Brantley's NPI number?

The NPI number for Jeannette R Brantley is 1407931009. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Crystal Manor Assisted Living.

Where is Jeannette R Brantley located?

Jeannette R Brantley is located at 6016 W Lake Creek Rd, Riesel, TX 76682. The listed phone number is (254) 875-9525.

What is Jeannette R Brantley's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Jeannette R Brantley was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.