CRYSTAL CLARK
NPI 1467014894
Adult Companion in Rochester, NY
- Individual
- Female
- Adult Companion
About CRYSTAL CLARK
This page provides the complete NPI Profile along with additional information for Crystal Clark, a provider established in Rochester, New York with a medical specialization in Adult Companion. The healthcare provider is registered in the NPI registry with number 1467014894 assigned on July 2019. The practitioner's primary taxonomy code is 372600000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1467014894 Verify this NPI
- Provider Name
- CRYSTAL CLARK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 153 BRAMBURY DR APT D ROCHESTER, NY 14621
- Location Phone
- (404) 621-2852
- Mailing Address
- PO BOX 64283 ROCHESTER, NY 14624
- Mailing Phone
- (404) 321-2852
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-06-2019
- Last Update Date
- 07-06-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Adult Companion
- Taxonomy Code
- 372600000X
- Type
- Nursing Service Related Providers
- Taxonomy Description
- An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 372500000X | Nursing Service Related Providers | Chore Provider | |
| 2 | 376K00000X | Nursing Service Related Providers | Nurse's Aide | NYGA0401903R (NY) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467014894, enumerated as an "individual" on July 06, 2019.
The provider is located at 153 BRAMBURY DR APT D ROCHESTER, NY 14621 and the phone number is (404) 621-2852.
Adult Companion with taxonomy code 372600000X.