Provider Demographics
NPI:1790431393
Name:CRISP CARE CONSULTING LLC
Entity Type:Organization
Organization Name:CRISP CARE CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-699-9414
Mailing Address - Street 1:9000 E JEFFERSON AVE APT 7-15
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-4193
Mailing Address - Country:US
Mailing Address - Phone:313-699-9414
Mailing Address - Fax:
Practice Address - Street 1:9000 E JEFFERSON AVE APT 7-15
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-4193
Practice Address - Country:US
Practice Address - Phone:313-699-9414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty