CRYSTAL HEALTH AND REHAB CENTER LLC
NPI 1609360544
Skilled Nursing Facility in Tavernier, FL

NPI Status: Active since June 14, 2018

Contact Information

48 HIGH POINT RD
TAVERNIER, FL
ZIP 33070
Phone: (305) 853-0799

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 10D2027871
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-02-2025

About CRYSTAL HEALTH AND REHAB CENTER LLC

This page provides the complete NPI Profile along with additional information for Crystal Health And Rehab Center Llc, a provider established in Tavernier, Florida operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1609360544 assigned on June 2018. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Ephram Lahasky (Member)

NPI
1609360544
Provider Name
CRYSTAL HEALTH AND REHAB CENTER LLC
Entity Type
Organization
Location Address
48 HIGH POINT RD TAVERNIER, FL 33070
Location Phone
(305) 853-0799
Mailing Address
99 W HAWTHORNE AVE STE L10 VALLEY STREAM, NY 11580
Mailing Phone
(516) 504-9797
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2018
Last Update Date
06-14-2018
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(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.

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

EPHRAM LAHASKY

Authorized Official Title
MEMBER
Authorized Official Phone
(646) 772-3668

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2027871
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
August 03, 2023
Certificate Expiration Date
August 02, 2025
Laboratory Director
TREVOR S. MATCHIM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Crystal Health And Rehab Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1609360544
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260966058
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 6 + 6 + 0 + 5 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1609360544 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538151998DR. PATRICE GERARD PH.D
Individual
Psychologist (Counseling)48 HIGH POINT RD MM88.5
TAVERNIER, FL 33070
(305) 852-3021
1730483827PLANTATION KEY OPERATING COMPANY, LLC
Organization
Skilled Nursing Facility48 HIGH POINT RD
TAVERNIER, FL 33070
(305) 825-3021
1851761688PLANTATION KEY CARE AND REHABILITATION CENTER LLC
Organization
Skilled Nursing Facility48 HIGH POINT RD
TAVERNIER, FL 33070
(305) 853-0799
1376014225 TIFFANY LEE MCNEW MS, OTR/L
Individual
Occupational Therapist48 HIGH POINT RD
TAVERNIER, FL 33070
(305) 853-0799
1679249890CRYSTAL NURSING HOME 2021 LLC
Organization
Skilled Nursing Facility48 HIGH POINT RD
TAVERNIER, FL 33070
(305) 893-5000
1962100636CRYSTAL HEALTH FL OPCO LLC
Organization
Skilled Nursing Facility48 HIGH POINT RD
TAVERNIER, FL 33070
(305) 853-0799
1780444620 JUAN FRANCISCO MORAGUEZ RODRIGUEZ FNP
Individual
Nurse Practitioner (Family)48 HIGH POINT RD
TAVERNIER, FL 33070
(305) 370-9353
1922991017OZEN AUDIOLOGY LLC
Organization
Audiologist (Assistive Technology Practitioner)48 HIGH POINT RD
TAVERNIER, FL 33070
(954) 488-2125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609360544, enumerated in the NPI registry as an "organization" on June 14, 2018

The provider is located at 48 High Point Rd Tavernier, Fl 33070 and the phone number is (305) 853-0799

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider's CLIA number is 10D2027871 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 14, 2018. 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].
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