Mclendon, Crystal A

Mclendon, Crystal A is an sole proprietor health care provider with primary practice located at 4805 Castlebar St Nw , Canton OH 44708-2045. She recently has 8 registered licenses in different health care specialties including Transportation Services / Private Vehicle, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker, Agencies / In Home Supportive Care, Other Service Providers / Driver, Agencies / Supports Brokerage, Transportation Services / Non-emergency Medical Transport (VAN). Agencies / In Home Supportive Care is her primary health care specialty. Mclendon, Crystal A can be contacted via phone (330) 430-9662.

Contact Information

Primary practice address
4805 Castlebar St Nw Canton OH 44708-2045
Phone: (330) 430-9662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X 2573442 Ohio
Nursing Service Related Providers / Adult Companion 372600000X 2573442 Ohio
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 2573442 Ohio
Nursing Service Related Providers / Homemaker 376J00000X
Agencies / In Home Supportive Care 253Z00000X 2573442 Ohio
Other Service Providers / Driver 172A00000X
Other Service Providers / Driver 172A00000X 2573442 Ohio
Agencies / Supports Brokerage 251X00000X 2573442 Ohio
Agencies / In Home Supportive Care 253Z00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 2573442 Ohio

Profile Details

NPI number 1063009702
LBN Legal business name Mclendon, Crystal A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2020
Last updated Nov 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063009702 NPPES
Ohio Other 2573442 OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES
Ohio MEDICAID 0385197 OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES

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