Crown Personal Care Home

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

031-01-246-1 Issued in GA

Legal business name

CROWN PERSONAL CARE HOME

Practice address

891 Stormy LN
Jonesboro, GA 30238-5984

Phone

(678) 216-1618

NPI assigned

Dec 13, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel Oso

Title

Owner

Phone

(678) 216-1618

Specialties & licenses 1

Addresses

Tax ID family

Crown Health Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crown Health Care Services, Inc.

  • In Home Supportive Care Agency
  • Jonesboro, GA
  • NPI 1417261082
  NPD tax ID

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1407159585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 STORMY LN",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385984",
            "telephone_number": "678-216-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 STORMY LN",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385984",
            "telephone_number": "678-216-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "OSO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-216-1618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "031-01-246-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Care Health Concepts,LLC
• Creative Growth
• Amia Crockett
• Charnice Danielle Crowley, LMT
• Crown Health Care Services, Inc.
• Bronwynn W Crutchfield, M.ED., CCC-SLP
• CSS Corp
• Pamela Curry
• Preston D Cutler, DC
• Carl Joseph William Czuboka, M.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.