CRYSTAL CARE SERVICES – NPI #1902532351
Clinic/Center

CRYSTAL CARE SERVICES is an AHC clinic located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1902532351 to CRYSTAL CARE SERVICES on July 28, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 3 years ago on Jan 06, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRYSTAL CARE SERVICES below.

NPI Profile for
CRYSTAL CARE SERVICES

NPI Number
1902532351
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CRYSTAL CARE SERVICES
Primary location
2104 PARK AVE
MINNEAPOLIS, MN 55404-6607
Phone: (612) 999-0240 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NIMO MOHAMED
OWNER
Phone: (612) 999-0240
Updated
Certification Date
Jan 06, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.