Active NPI
Crown Homes and Services LLC
- Intellectual & Developmental Disabilities Psychologist
- Cedar Rapids, IA
National Provider Identifier
1003780248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- Legal business name
- CROWN HOMES AND SERVICES LLC
- Practice address
- 515 Wilson Avenue Dr SW
Cedar Rapids, IA 52404-3755 - Phone
- (763) 339-8302
- NPI assigned
- Oct 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel K Williams, MA, BSC
- Title
- Managing Director
- Phone
- (763) 339-8302
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | Primary |
Addresses
Primary practice location
515 Wilson Avenue Dr SW
Cedar Rapids, IA 52404-3755
Mailing address
515 Wilson Avenue Dr SW
Cedar Rapids, IA 52404-3755
Phone (763) 339-8302
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Personal Care Attendant
- Cedar Rapids, IA
- NPI 1265024830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759276800000",
"number": "1003780248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 WILSON AVENUE DR SW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524043755",
"telephone_number": "763-339-8302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 WILSON AVENUE DR SW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524043755",
"telephone_number": "763-339-8302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROWN HOMES AND SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-01",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "763-339-8302",
"authorized_official_credential": "MA, BSC"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.