A Queenz Crown LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

A QUEENZ CROWN LLC

Practice address

460 El Cerrito Plaza
Suite 2
El Cerrito, CA 94530

Phone

(510) 423-3090

NPI assigned

Nov 12, 2020

Organization subpart

No

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

Authorized official

Name

Nneki Noni Edwards

Title

Owner

Phone

(510) 423-3090

Specialties & licenses 1

Addresses

Other names 1

• Studio Elevation Doing business as

Locations

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1073115333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 CRESCENT ST APT 30",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102608",
            "telephone_number": "510-423-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 EL CERRITO PLAZA",
            "address_2": "SUITE 2",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "94530",
            "telephone_number": "510-423-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A QUEENZ CROWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "NNEKI",
        "authorized_official_middle_name": "NONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-423-3090"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Studio Elevation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in El Cerrito, CA
• Providers in El Cerrito, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.