MRS. BETTY J. CRUSAW ADMIN.OWNER
NPI 1598975104
Assisted Living Facility in Jacksonville, FL

Q: What is Betty Crusaw's NPI number?

The NPI number for Betty Crusaw is 1598975104. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Betty Crusaw's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Betty Crusaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 23, 2007

5265 LONGLEAF ST, JACKSONVILLE, FL 32209(904) 764-3600 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Mrs. Betty J. Crusaw Admin.owner NPPES

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

MRS. BETTY J. CRUSAW ADMIN.OWNER (NPI 1598975104) is an individual assisted living facility provider in Jacksonville, Florida, licensed in Florida (AL10996) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1598975104

Entity TypeIndividualFemale

Primary Taxonomy310400000X

Provider Legal NameMRS. BETTY J. CRUSAWCredential: ADMIN.OWNER

Location Address5265 LONGLEAF STJacksonville, FL 32209-2704

Mailing Address3117 Trout River BlvdJacksonville, FL 32208-1370 · (904) 765-7876

Phone(904) 764-3600

Sole ProprietorYes

Enumeration DateMay 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1598975104 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 FL · AL10996

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.

5265 LONGLEAF ST, Jacksonville, FL 32209

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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 Betty Crusaw's NPI number?

The NPI number for Betty Crusaw is 1598975104. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Betty Crusaw located?

Betty Crusaw practices at 5265 Longleaf St, Jacksonville, FL 32209. The listed phone number is (904) 764-3600.

What is Betty Crusaw'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 Betty Crusaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.