Crown Couture Solutions LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CROWN COUTURE SOLUTIONS LLC

Practice address

411 Arden PL
Ellenwood, GA 30294-1618

Phone

(830) 357-0759

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Ladreaka S. White

Title

Ceo

Phone

(830) 357-0759

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1417793613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FAIRVIEW RD STE 103-211",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942722",
            "telephone_number": "830-357-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ARDEN PL",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941618",
            "telephone_number": "830-357-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN COUTURE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LADREAKA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-357-0759"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CPT Services LLC
• Ebonie Crane
• Solia Crigler
• Anissa J Crimley
• Shannon Lynette Crosslin
• Kristal Cure
• Pamela Nicole Dallas
• Larita Patrice Dalton
• Damate Healthcare Services, Inc
• Gaea Anita Daniel, PHD, RN

• Prosthetic/Orthotic Supplier in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.