Organization Active NPI

Crown Health Care Services, Inc.

  • In Home Supportive Care Agency
  • Jonesboro, GA
National Provider Identifier
1417261082
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
031-R-0470 Issued in GA
Legal business name
CROWN HEALTH CARE SERVICES, INC.
Practice address
7879 N Main St
Jonesboro, GA 30236-2211
Phone
(678) 216-1618
Fax
(678) 216-1617
NPI assigned
Aug 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Emmanuel Oso
Title
Administrator
Phone
(678) 216-1618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 031-R-0470 GA Primary

Addresses

Primary practice location

7879 N Main St
Jonesboro, GA 30236-2211

Mailing address

7879 N Main St
Jonesboro, GA 30236-2211
Phone (678) 216-1618

National Provider Directory

National Provider Directory
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.

Locations

7879 N Main St
Jonesboro, GA 30236
Phone (678) 216-1618

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1417261082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7879 N MAIN ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362211",
            "telephone_number": "678-216-1618",
            "fax_number": "678-216-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7879 N MAIN ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362211",
            "telephone_number": "678-216-1618",
            "fax_number": "678-216-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "OSO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-216-1618"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "031-R-0470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.