CRYSTAL SPARKS


Address: 2611 Cleveland Highway, Dalton, GA 30721
Phone: 7062605235

CRYSTAL SPARKS (NPI# 1528433026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528433026
Entity Type Individual
Full Name CRYSTAL SPARKS
Practice Address 2611 Cleveland Highway
Dalton
GA 30721
Mailing Address 2611 Cleveland Hwy
Dalton
GA 30721-8160
Practice Telephone 7062605235
Mailing Telephone 7062605235
Enumeration Date 2015-12-09
Last Update Date 2015-12-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator GA Other Service Providers

Other Providers CRYSTAL SPARKS

NPI Name Taxonomy Address Enumeration
1821494469 Crystal Sparks Counselor 1012 Waverly Ave, Toledo, OH 43607-3736 2014-11-10
1912146770 Crystal Michelle Sparks Developmental Therapist 519 Latham Dr, Lowell, AR 72745-8360 2009-02-18

Office Location

Street Address 2611 CLEVELAND HIGHWAY
City DALTON
State GA
Zip Code 30721

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417322942 Alison Gobel Case Manager/Care Coordinator 2611 Clevland Hwy, Dalton, GA 30721 2015-12-09
1043524838 Quality Care Concepts, Inc. Durable Medical Equipment & Medical Supplies 121 Tilton Road, Dalton, GA 30721 2010-08-04
1538490081 Jennifer Sawyer Counselor 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 2010-01-22
1831210673 Linda E. Minter Case Manager/Care Coordinator 932 Williams Rd. Nw, Dalton, GA 30721 2007-04-02
1265595318 M Edwin Caylor Dds PC Dentist 2880 Cleveland Hwy, Dalton, GA 30721 2006-12-19
1295823003 Candler Road Dental, PC Dentist 2107 E. Walnut Ave., Dalton, GA 30721 2006-10-10
1508872466 Family Walk-in Clinic Family Medicine 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 2006-07-31
1225056823 James L Coone Family Medicine 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 2006-07-18
1770517591 The Kroger Co Durable Medical Equipment & Medical Supplies 1205 N Glenwood Road, Dalton, GA 30721 2006-07-10
1225081235 Heartlite Hospice Care, Inc. Hospice Care, Community Based 1011 Abutment Road, Suite 108, Dalton, GA 30721 2006-05-19
Find all providers in zip 30721

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417322942 Alison Gobel Case Manager/Care Coordinator 2611 Clevland Hwy, Dalton, GA 30721 2015-12-09
1063819357 Kristy Dobes Case Manager/Care Coordinator 18690 Church Rd, Dalton, OH 44618-9406 2014-12-02
1316366412 Sherida Payne Case Manager/Care Coordinator 1307 Winton Dr, Dalton, GA 30720-3035 2014-04-16
1326398785 Erlinda Carrillo Alatorre Case Manager/Care Coordinator 1508 Arlington Dr Nw, Dalton, GA 30720-7153 2012-09-13
1912266743 Jennifer Vaden Farner Case Manager/Care Coordinator 709 Vintage Ln, Dalton, GA 30721-6837 2012-05-14
1831210673 Linda E. Minter Case Manager/Care Coordinator 932 Williams Rd. Nw, Dalton, GA 30721 2007-04-02
1639528318 Jasmine Clark Case Manager/Care Coordinator 2611 Cleveland Hwy, Dalton, GA 30721-8160 2016-06-03
1194179655 Ashley Stevens Case Manager/Care Coordinator 900 Shugart Rd, Dalton, GA 30720-2467 2016-04-20
1659725117 Jordan Cooper Case Manager/Care Coordinator 2615 Cleveland Hwy, Dalton, GA 30721-8160 2016-04-20
1467806927 Jelisa Burse Case Manager/Care Coordinator 2615 Cleveland Hwy, Dalton, GA 30721-8160 2016-04-20
Find all providers in DALTON

Competitor

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City DALTON
Zip Code 30721

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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