# CRYSTAL HOME HEALTH CARE,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRYSTAL HOME HEALTH CARE, LLC, CRYSTAL HOME HEALTH CARE,LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336588219
- **Authorized official:** CRYSTAL HOME HEALTH CARE LLC DIRECTOR (DIRECTOR)
- **Authorized official phone:** (816) 726-5625

## Contact information

- **Practice address:** 155 S 18TH ST STE 107, KANSAS CITY, KS 66102-5644
- **Practice address phone:** (816) 726-5625
- **Mailing address:** 155 S 18TH ST STE 107, KANSAS CITY, KS 66102-5644
- **Mailing address phone:** (816) 726-5625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 253Z00000X | KS | Yes |

## Other

- **Enumeration date:** 06/24/2013
- **Last updated:** 03/12/2024