Crown Vision Community Home LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

CROWN VISION COMMUNITY HOME LLC

Practice address

5959 Fort Caroline Rd Apt 813
Jacksonville, FL 32277-1826

Phone

(904) 469-6521

NPI assigned

Jun 2, 2026

Last updated

Jun 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jacquise Alexander Brown, OWNER /ADMINISTRATOR

Title

Owner / Administrator

Phone

(904) 469-6521

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1619809571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 FORT CAROLINE RD APT 813",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322771826",
            "telephone_number": "904-469-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 FORT CAROLINE RD APT 813",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322771826",
            "telephone_number": "904-469-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN VISION COMMUNITY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JACQUISE",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATOR",
        "authorized_official_telephone_number": "904-469-6521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER /ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Alden Crowe, MD
• Matthew Crowe, MD
• Kelly Marie Crowell, M. ED., BCBA, LBA
• Tamara Stowers Crowell, PA-C
• Crown Again, LLC
• Crowning Midwifery, Birth Services, and Beyond PLLC
• Bailee Jordan Croy, DPT
• Bianca J Croyle
• Jennifer Ann Crozier, MD
• Ovidiu Cruceru

• Intellectual & Developmental Disabilities Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Intellectual & Developmental Disabilities Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.