Crystal Care Center Of Portsmouth

LBN: Kkj Enterprises, Inc
Crystal Care Center Of Portsmouth is an health care organization with primary practice located at 1319 Spring Street , Portsmouth OH 45662. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Kkj Enterprises, Inc can be contacted via phone (740) 354-6619, or through Sauer, Carol Sue via phone (740) 354-6619.

Contact Information

Primary practice address
1319 Spring Street Portsmouth OH 45662
Phone: (740) 354-6619
Fax: (740) 354-5710
Website:
Map and Directions
Authorized official contact:
Name: Sauer, Carol Sue
Phone: (740) 354-6619

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Ohio

Profile Details

NPI number 1972500692
LBN Legal business name Kkj Enterprises, Inc
DBA Doing business as Crystal Care Center Of Portsmouth
Authorized official Sauer, Carol Sue
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Dec 2nd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972500692 NPPES
Ohio MEDICAID 2335155
Ohio Other 134209136
Ohio MEDICAID 0060574

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