Fix Your Crown Foundation

Key facts

NPI

1346937745

Entity type

Organization (NPI type 2)

Primary specialty

Religious Nonmedical Health Care Institution 282J00000X

Legal business name

FIX YOUR CROWN FOUNDATION

Practice address

8656 Highway 165 N Apt 16
Monroe, LA 71203-8709

Phone

(682) 215-2860

NPI assigned

Apr 18, 2023

Organization subpart

No

Authorized official

Name

Yolanda Thomas

Title

President

Phone

(682) 215-2860

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yolanda Grady Case Manager/Care Coordinator · Monroe, LA · NPI 1942854112
  NPD

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 9, 2023.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1346937745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8656 HIGHWAY 165 N APT 16",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038709",
            "telephone_number": "682-215-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8656 HIGHWAY 165 N APT 16",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038709",
            "telephone_number": "682-215-2860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 N 18th St Ste 117",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015400",
            "country_code": "US",
            "telephone_number": "682-215-2860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIX YOUR CROWN FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "682-215-2860"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

• Caleb Jermaine Fisher
• Latondra Carlette Fisher
• Nicholas Colton Fisher, FNP
• Rashonda Fisher
• Khammie Fitzgerald
• Kara Flake
• Gleron Deshae Fleming
• Melanie Evon Fleming, FNP-BC
• Melissa K. Flemister
• Rebecca Bonin Flemister, M.S., CCC-SLP

All providers in Monroe, LA · Religious Nonmedical Health Care Institution in Louisiana