CRYSTAL DIETARY SERVICE INC
NPI 1013024017
Public Health or Welfare in Detroit, MI

NPI Status: Active since August 24, 2006

Contact Information

15819 SCHOOLCRAFT ST
DETROIT, MI
ZIP 48227
Phone: (313) 493-4900
Fax: (313) 493-4904

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  • Organization
  • Public Health or Welfare

About CRYSTAL DIETARY SERVICE INC

This page provides the complete NPI Profile along with additional information for Crystal Dietary Service Inc, a provider established in Detroit, Michigan operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1013024017 assigned on August 2006. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Robert Mcpherson (Ceo)

NPI
1013024017
Provider Name
CRYSTAL DIETARY SERVICE INC
Entity Type
Organization
Location Address
15819 SCHOOLCRAFT ST DETROIT, MI 48227
Location Phone
(313) 493-4900
Location Fax
(313) 493-4904
Mailing Address
15819 SCHOOLCRAFT ST DETROIT, MI 48227
Mailing Phone
(313) 493-4900
Mailing Fax
(313) 493-4904
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROBERT MCPHERSON

Authorized Official Title
CEO
Authorized Official Phone
(313) 493-4900

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4377557MEDICAID (05)MI 

Reviews for CRYSTAL DIETARY SERVICE INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013024017
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202302802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 2 + 8 + 0 + 2 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1013024017 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639129067CARLIN EMPLOYMENT SERVICES INC.
Organization
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1861583759MR. ROBERT L EAGLES
Individual
Social Worker (Clinical)15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1831226349DR. OLUWA REGINALD DAVIS PH.D.
Individual
Psychologist (Clinical)15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1164649539MR. TERRENCE TYRONE ALLEN
Individual
Social Worker15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1336321967MRS. BELINDA FAY EDWARDS
Individual
Social Worker (Clinical)15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1902076631MISS FANA GEBREHIWET SEBHATU
Individual
Nutritionist15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1215188560DR. DIANE DEUTSCH-KEAHEY RD,PHD
Individual
Dietitian, Registered15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1457504581MR. DAKAR YERO MURRY
Individual
Social Worker15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1982858536MISS VONA RENEE BUSH
Individual
Social Worker15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1689801334MRS. FAUSTINIA TALISON LOPER
Individual
Social Worker (Clinical)15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1053548800MS. DIANA BENITA PARKER
Individual
Social Worker (Clinical)15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1295057396MISS DEBORAH ANN PARENT
Individual
Social Worker15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1265756092MISS MARQUIERITE ANNE SABA
Individual
Social Worker (Clinical)15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1326366204MRS. MARIA DORA FRANKLIN
Individual
Dietitian, Registered15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1326352527MRS. ETHEL LEE THOMAS
Individual
Social Worker (Clinical)15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1598179616 ARTHUR KELLEY II
Individual
Social Worker (Clinical)15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1689070633MS. NAKESHA NACOLE BROWN RN
Individual
Registered Nurse15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 272-0200
1134630825MRS. REXIENA MARDIA MAPP FNP
Individual
Nurse Practitioner (Family)15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 272-0200
1366961716MRS. ROCHELLE RENEE LYLES LBSW
Individual
Social Worker15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900
1255346870CRYSTAL HOME HEALTHCARE PHCY
Organization
Pharmacy15819 SCHOOLCRAFT ST
DETROIT, MI 48227
(313) 493-4900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013024017, enumerated in the NPI registry as an "organization" on August 24, 2006

The provider is located at 15819 Schoolcraft St Detroit, Mi 48227 and the phone number is (313) 493-4900

This medical organization specializes in Public Health or Welfare with taxonomy code 251K00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.