Crown Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO08318 Issued in VA

Legal business name

CROWN HOME CARE, INC.

Practice address

14159 Mariah CT Ste 800
Chantilly, VA 20151-2106

Phone

(703) 817-1555

Fax

(703) 817-1554

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Abdirahim Gelle Hussein

Title

Administrator

Phone

(703) 817-1555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1376738211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14159 MARIAH CT STE 800",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512106",
            "telephone_number": "703-817-1555",
            "fax_number": "703-817-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14159 MARIAH CT STE 800",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512106",
            "telephone_number": "703-817-1555",
            "fax_number": "703-817-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "ABDIRAHIM",
        "authorized_official_middle_name": "GELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-817-1555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO08318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101782156",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cyclelogical Connection Inc

• Home Health Agency in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.