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CRYSTAL GEM MANOR
NPI 1750728812
Assisted Living Facility in Crystal River, FL

Active since May 30, 2013
10845 W GEM ST, CRYSTAL RIVER, FL 34428(352) 794-7601 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Gem Manor NPPES

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

CRYSTAL GEM MANOR (NPI 1750728812) is a healthcare organization registered as an assisted living facility in Crystal River, Florida and active in the NPI registry since May 2013. The organization lists Jorge A Hernando, Owner, as its authorized official.

NPPES Registry Identity

NPI1750728812
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCRYSTAL GEM MANOR
Location Address10845 W GEM STCrystal River, FL 34428-6682
Mailing Address300 71st St Ste 410Miami Beach, FL 33141-3092 · (305) 868-1830
Phone(352) 794-7601
Organization SubpartNo
Authorized OfficialJorge A HernandoOwner · (305) 868-1830
Enumeration DateMay 30, 2013
✔ NPI 1750728812 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 · AL10687
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.
10845 W GEM ST, Crystal River, FL 34428
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Other Identifiers 1

Medicaid0003517200FL

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 GEM MANOR
Assisted Living Facility
10845 W GEM ST
CRYSTAL RIVER, FL 34428
Citrus County (352) 794-7601

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 Gem Manor's NPI number?

The NPI number for Crystal Gem Manor is 1750728812. It was assigned to this organization in the NPPES registry on May 30, 2013.

Where is Crystal Gem Manor located?

Crystal Gem Manor is located at 10845 W Gem St, Crystal River, FL 34428. The listed phone number is (352) 794-7601.

What is Crystal Gem Manor'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 Crystal Gem Manor was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.