CRYSTAL MANOR RESIDENTIAL CARE HOME, LLC
NPI 1518733211
Assisted Living Facility - Assisted Living, Mental Illness in Baldwin Park, CA

Q: What is Crystal Manor Residential Care Home, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since December 04, 2023

3406 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706(626) 391-7421 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Crystal Manor Residential Care Home, Llc NPPES

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

CRYSTAL MANOR RESIDENTIAL CARE HOME, LLC (NPI 1518733211) is a healthcare organization registered as an assisted living, mental illness in Baldwin Park, California and active in the NPI registry since December 2023. The organization lists Christina Haddadin, Managing Member/owner, as its authorized official.

NPPES Registry Identity

NPI1518733211

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameCRYSTAL MANOR RESIDENTIAL CARE HOME, LLC

Location Address3406 BALDWIN PARK BLVDBaldwin Park, CA 91706-4807

Mailing Address3406 Baldwin Park BlvdBaldwin Park, CA 91706-4807 · (626) 391-7421

Phone(626) 391-7421

Organization SubpartNo

Authorized OfficialChristina HaddadinManaging Member/owner · (626) 391-7421

Enumeration DateDecember 4, 2023

Last NPPES UpdateDecember 7, 2023

NPPES CertifiedDecember 7, 2023

✔ NPI 1518733211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

3406 BALDWIN PARK BLVD, Baldwin Park, CA 91706

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Other Names 1

Other NameCrystal Manor

Other Providers at the Same Location NPPES

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

CRYSTAL MANOR

Psychiatric Residential Treatment Facility

3406 BALDWIN PARK BLVD
BALDWIN PARK, CA 91706

Los Angeles County (626) 337-1424

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 Manor Residential Care Home, LLC's NPI number?

The NPI number for Crystal Manor Residential Care Home, LLC is 1518733211. It was assigned to this organization in the NPPES registry on December 4, 2023. The provider is also known as Crystal Manor.

Where is Crystal Manor Residential Care Home, LLC located?

Crystal Manor Residential Care Home, LLC is located at 3406 Baldwin Park Blvd, Baldwin Park, CA 91706. The listed phone number is (626) 391-7421.

What is Crystal Manor Residential Care Home, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Crystal Manor Residential Care Home, LLC was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.