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Crystal Care Center Of Mansfield INC.

Skilled Nursing Facility in Mansfield, OH. Organization (NPI-2).

NPI number1720123318
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1720123318
Entity type
Organization (NPI-2)
Legal business name
Crystal Care Center Of Mansfield INC.
Organization subpart
No
Enumeration date
Feb 21, 2007
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART A PROVIDER - SKILLED NURSING FACILITY
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility–OHYes

Practice location

1159 Wyandotte Ave.
Mansfield, OH 44906-1940

Phone 419-747-2666

Mailing address

1159 Wyandotte Ave
Mansfield, OH 44906-1940

Authorized official

Jerry Smith
Owner
4197472666

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Skilled Nursing Facility providers in Mansfield, OH

All 14 Skilled Nursing Facility providers in Mansfield · All 3,375 providers in Mansfield

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