Active NPI
Crown of Life Ny LLC
- Home Health Agency
- Brooklyn, NY
National Provider Identifier
1396280715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2662L001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04609894 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.