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CRYSTAL HEALTH SERVICES INC
NPI 1639711930
Home Health in Van Nuys, CA

Active since October 08, 2019CLIA 05D2179987 · Waiver
14664 VICTORY BLVD # 208, VAN NUYS, CA 91411(818) 294-0752(818) 279-2566 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 9, 2021, Oct 8, 2019 (2 updates tracked since 2019).

About Crystal Health Services Inc NPPES

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

CRYSTAL HEALTH SERVICES INC (NPI 1639711930) is a healthcare organization registered as a home health in Van Nuys, California and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Tigran Sahakyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639711930
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCRYSTAL HEALTH SERVICES INC
Location Address14664 VICTORY BLVD # 208Van Nuys, CA 91411-1621
Mailing Address14664 Victory Blvd # 208Van Nuys, CA 91411-1621 · (818) 294-0752 · Fax (323) 967-2871
Phone(818) 294-0752
Fax(818) 279-2566
Organization SubpartNo
Authorized OfficialTigran SahakyanCeo · (818) 294-0752
Enumeration DateOctober 8, 2019
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
✔ NPI 1639711930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
14664 VICTORY BLVD # 208, Van Nuys, CA 91411
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2179987

Crystal Health Services Inc · Van Nuys, CA
Active · expires Mar 3, 2028
CLIA Number05D2179987
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorSieghart Ponhold
Laboratory Phone(818) 294-0752
Laboratory LocationCrystal Health Services Inc14664 Victory Blvd Ste 208, Van Nuys, CA 91411
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Health Services Inc's NPI number?

The NPI number for Crystal Health Services Inc is 1639711930. It was assigned to this organization in the NPPES registry on October 8, 2019.

Where is Crystal Health Services Inc located?

Crystal Health Services Inc is located at 14664 Victory Blvd # 208, Van Nuys, CA 91411. The listed phone number is (818) 294-0752.

What is Crystal Health Services Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Crystal Health Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2179987) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crystal Health Services Inc was last updated on October 30, 2024. 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.