Organization Active NPI

Crown Care Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
National Provider Identifier
1154266443
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CROWN CARE MEDICAL LLC
Practice address
1000 E Chelten Ave Unit 1a
Philadelphia, PA 19138-1839
Phone
(610) 368-4033
Fax
(833) 378-4601
NPI assigned
Apr 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Mr. Wallace Reginald King III
Title
Owner
Phone
(610) 368-4033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1000 E Chelten Ave Unit 1a
Philadelphia, PA 19138-1839

Mailing address

1000 E Chelten Ave Unit 1a
Philadelphia, PA 19138-1839
Phone (610) 368-4033

National Provider Directory

National Provider Directory

Locations

1000 E Chelten Ave
Unit 1A
Philadelphia, PA 19138
Phone (610) 368-4033

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1154266443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E CHELTEN AVE UNIT 1A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191381839",
            "telephone_number": "610-368-4033",
            "fax_number": "833-378-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E CHELTEN AVE UNIT 1A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191381839",
            "telephone_number": "610-368-4033",
            "fax_number": "833-378-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN CARE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "REGINALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-368-4033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.