MEDICARE: CRYSTAL TAYLOR

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	:	1831045533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL TAYLOR

Provider Business Mailing Address
First Line	:	1534 LEE ST E
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25311-2404
Country	:	US
Telephone Number	:	681-474-3490
Fax Number	:

Provider Business Practice Location Address
First Line	:	1534 LEE ST E
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25311-2404
Country	:	US
Telephone Number	:	681-474-3490
Fax Number	:

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

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “ CRYSTAL TAYLOR ” Practice Location

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