Active NPI
Crown Care Medical LLC
- Durable Medical Equipment & Medical Supplies
- Philadelphia, PA
National Provider Identifier
1154266443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.