Provider Demographics
NPI:1952197527
Name:CHRISTALINE STUDIOS
Entity type:Organization
Organization Name:CHRISTALINE STUDIOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHANES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-577-0157
Mailing Address - Street 1:537A N TRADE ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-2914
Mailing Address - Country:US
Mailing Address - Phone:336-577-0157
Mailing Address - Fax:
Practice Address - Street 1:537A N TRADE ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-2914
Practice Address - Country:US
Practice Address - Phone:336-577-0157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA
No305S00000XManaged Care OrganizationsPoint of Service