CRYSTAL CARE CENTER OF PORTSMOUTH – NPI #1972500692
Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
CRYSTAL CARE CENTER OF PORTSMOUTH is a skilled nursing facility (SNF) located in PORTSMOUTH, OH. NPPES has assigned the NPI number 1972500692 to CRYSTAL CARE CENTER OF PORTSMOUTH on July 07, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CRYSTAL CARE CENTER OF PORTSMOUTH” is a dba name, the actual legal business name for this organization is KKJ ENTERPRISES, INC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.
The NPI profile was previously updated about 13 years ago on Dec 02, 2013. 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 CENTER OF PORTSMOUTH below.
NPI Profile for
KKJ ENTERPRISES, INC
(about 21 years ago)
PORTSMOUTH, OH 45662 Phone: (740) 354-6619 Fax: (740) 354-5710
1319 SPRING STREET
PORTSMOUTH, OH 45662 Phone: (740) 354-6619 Fax: (740) 353-6770
ADMINISTRATOR
Phone: (740) 354-6619
Identifiers for CRYSTAL CARE CENTER OF PORTSMOUTH
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | INSURANCE COMPANIES | OH | 134209136 |
| MEDICAID | OH | 0060574 | |
| MEDICAID | OH | 2335155 |
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 |
|---|---|---|
| 314000000X - Skilled Nursing Facility (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.