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CRYSTAL CLARK
NPI 1467014894
Adult Companion in Rochester, NY

Active since July 06, 2019
153 BRAMBURY DR APT D, ROCHESTER, NY 14621(404) 621-2852 Get Directions Write a Review

NPPES record last updated: July 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal Clark NPPES

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

CRYSTAL CLARK (NPI 1467014894) is an individual adult companion provider in Rochester, New York and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1467014894
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameCRYSTAL CLARK
Location Address153 BRAMBURY DR APT DRochester, NY 14621-1820
Mailing AddressPo Box 64283Rochester, NY 14624-6683 · (404) 321-2852
Phone(404) 621-2852
Sole ProprietorYes
Enumeration DateJuly 6, 2019
✔ NPI 1467014894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
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.
Also ListedChore ProviderTaxonomy 372500000X
Also ListedNurse's AideTaxonomy 376K00000X · License NYGA0401903R (NY)
153 BRAMBURY DR APT D, Rochester, NY 14621
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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 Clark's NPI number?

The NPI number for Crystal Clark is 1467014894. It was assigned to this individual provider in the NPPES registry on July 6, 2019.

Where is Crystal Clark located?

Crystal Clark practices at 153 Brambury Dr Apt D, Rochester, NY 14621. The listed phone number is (404) 621-2852.

What is Crystal Clark's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Crystal Clark was last updated on July 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.