MEDICARE: MRS. CRYSTAL CARR-KING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1841178316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CRYSTAL CARR-KING

Provider Business Mailing Address
First Line	:	10141 SW VILLAGE PKWY
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34987-2652
Country	:	US
Telephone Number	:	772-979-3343
Fax Number	:

Provider Business Practice Location Address
First Line	:	10141 SW VILLAGE PKWY
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34987-2652
Country	:	US
Telephone Number	:	772-979-3343
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2025
Last Update Date	:	08/23/2025

Similar Medicare Providers

1679451074 — COMPLETE CHOICE HOME CARE SERVICES, LLC
Practice Location Address:

10141 SW VILLAGE PKWY
PORT SAINT LUCIE, FL
34987-2652

Practice Phone: 772-979-3343
Practice Fax:

1467755843 — MR. BONNIE KYGER GIBSON COTA
Practice Location Address:

8042 PORT REPUBLIC RD
PORT REPUBLIC, VA
24471-2652

Practice Phone: 540-249-8109
Practice Fax:

1104608215 — EMILY TYUS KITCHENS NP
Practice Location Address:

818 SAINT SEBASTIAN WAY STE 200
AUGUSTA, GA
30901-2652

Practice Phone: 706-774-8940
Practice Fax:

1083612352 — DR. RANDY WILSON COOPER M.D.
Practice Location Address:

818 SAINT SEBASTIAN WAY STE 104
AUGUSTA, GA
30901-2652

Practice Phone: 706-434-0130
Practice Fax: 706-434-0131

1134181563 — RENAL TREATMENT CENTERS-ILLINOIS INC.
Practice Location Address:

1900 N SAINT JOSEPH AVE
HASTINGS, NE
68901-2652

Practice Phone: 402-463-4893
Practice Fax: 402-463-7049

1720092471 — MATTHEW M MONDI MD
Practice Location Address:

818 SAINT SEBASTIAN WAY STE 104
AUGUSTA, GA
30901-2652

Practice Phone: 706-434-0130
Practice Fax:

Directions to “ MRS. CRYSTAL CARR-KING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.