NPI Index

CRYSTALS PROMISE LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Active Organization
NPI: 1093593006

Practice Address

6250 N WATLING WAY
Madison, OH 44057

Phone: (440) 415-2224

Specialties

Specialty Code Primary License
Meals 174200000X No -
Day Training, Developmentally Disabled Services 251C00000X No -
Home Health 251E00000X No -
Community/Behavioral Health 251S00000X No -
In Home Supportive Care 253Z00000X No -
Community Based Residential Treatment Facility, Mental Illness 320800000X No -
Non-emergency Medical Transport (VAN) 343900000X No -
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child 385HR2060X No -
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X Yes -

Frequently Asked Questions

NPI 1093593006 is the National Provider Identifier for CRYSTALS PROMISE LLC, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Madison, OH. This NPI was enumerated on September 20, 2023.

Quick Facts

NPI
1093593006
Type
Organization
Enumerated
Sep 20, 2023
Last Updated
Sep 20, 2023

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