CRYSTAL SPRINGS, INC. – NPI #1174649081
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

CRYSTAL SPRINGS, INC. is a residential treatment facility located in ASSONET, MA. NPPES has assigned the NPI number 1174649081 to CRYSTAL SPRINGS, INC. on March 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 8 years ago on Jan 08, 2018. 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 SPRINGS, INC. below.

NPI Profile for
CRYSTAL SPRINGS, INC.

NPI Number
1174649081
Enumeration Date

(more than 19 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 SPRINGS, INC.
Primary location
38 NARROWS ROAD
ASSONET, MA 02702-0372
Phone: (508) 644-3101 Fax: (508) 644-2008
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATHLEEN LOVENBURY
CHIEF EXECUTIVE OFFICER
Phone: (774) 855-3176
Updated
Identifiers

Identifiers for CRYSTAL SPRINGS, INC.

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.

DescriptionIssuerStateIdentifier
MEDICAIDMA1312014
MEDICAIDMA1318071
MEDICAIDWA035224700
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
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (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.