Provider Demographics
NPI:1679453831
Name:CRYST CARE HOMES LLC
Entity type:Organization
Organization Name:CRYST CARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:VEE
Authorized Official - Last Name:TOTH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-954-6056
Mailing Address - Street 1:10727 OCONNOR RNCH
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-2361
Mailing Address - Country:US
Mailing Address - Phone:210-954-6056
Mailing Address - Fax:
Practice Address - Street 1:10727 OCONNOR RNCH
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-2361
Practice Address - Country:US
Practice Address - Phone:210-954-6056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities