Crown Senior Services, LLC

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

230388 Issued in FL

Legal business name

CROWN SENIOR SERVICES, LLC

Practice address

418 Canary Island Cir
Davenport, FL 33837-5553

Phone

(863) 424-6306

NPI assigned

Jun 3, 2008

Organization subpart

No

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

Authorized official

Name

Judith Rene Figareau

Title

Owner

Phone

(863) 424-6306

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1104085307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CANARY ISLAND CIR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338375553",
            "telephone_number": "863-424-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CANARY ISLAND CIR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338375553",
            "telephone_number": "863-424-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN SENIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "FIGAREAU",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-424-6306"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "230388",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "FL",
            "license": "230388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693590700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Davenport, FL
• Adult Companion in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.