Organization Active NPI

Crown of Life Ny LLC

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1396280715
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2662L001 Issued in NY
Legal business name
CROWN OF LIFE NY LLC
Practice address
1368 60TH St
Brooklyn, NY 11219-5018
Phone
(718) 475-2333
Fax
(718) 475-2323
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Jacqueline Morales
Title
Administrator
Phone
(718) 475-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2662L001 NY Primary

Addresses

Primary practice location

1368 60TH St
Brooklyn, NY 11219-5018

Mailing address

1368 60TH St
Brooklyn, NY 11219-5018
Phone (718) 475-2333

Other identifiers 1

IdentifierTypeStateIssuer
04609894MedicaidNY

National Provider Directory

National Provider Directory

Locations

1368 60th St
Brooklyn, NY 11219
Phone (718) 475-2333

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1396280715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 60TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195018",
            "telephone_number": "718-475-2333",
            "fax_number": "718-475-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 60TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195018",
            "telephone_number": "718-475-2333",
            "fax_number": "718-475-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN OF LIFE NY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-475-2323"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2662L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04609894",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.