Organization
CRYSTAL GEM MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE A HERNANDO (OWNER)
(305) 868-1830
Entity
Organization
Contact information
Practice address
10845 W GEM ST, CRYSTAL RIVER, FL 34428-6682
(352) 794-7601
Mailing address
300 71ST ST STE 410, MIAMI BEACH, FL 33141-3092
(305) 868-1830
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003517200
—
FL
Enumeration date
05/30/2013
Last updated
05/30/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up