Organization Active NPI

Lush Crowns LLC

  • Prosthetic/Orthotic Supplier
  • Hugo, MN
National Provider Identifier
1053105106
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LUSH CROWNS LLC
Practice address
15584 Empress Ave N Unit 10
Hugo, MN 55038-4599
Phone
(612) 806-6299
Fax
(612) 806-6299
NPI assigned
Apr 5, 2025
Last updated
Apr 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anna A AnnimNPI 1952195083
Title
Ceo
Phone
(612) 806-6299

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)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

15584 Empress Ave N Unit 10
Hugo, MN 55038-4599

Mailing address

15584 Empress Ave N Unit 10
Hugo, MN 55038-4599
Phone (612) 806-6299

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743811200000",
    "number": "1053105106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15584 EMPRESS AVE N UNIT 10",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550384599",
            "telephone_number": "612-806-6299",
            "fax_number": "612-806-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15584 EMPRESS AVE N UNIT 10",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550384599",
            "telephone_number": "612-806-6299",
            "fax_number": "612-806-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUSH CROWNS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-05",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A",
        "authorized_official_last_name": "ANNIM",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-806-6299"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hugo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.