Crown Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CROWN HOME HEALTH CARE INC.

Practice address

3900 Lake Center Dr Ste A4
Mount Dora, FL 32757-2203

Phone

(352) 561-2376

Fax

(352) 561-2377

NPI assigned

Jan 21, 2014

Last updated

Jul 18, 2024By 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

Patricia E Heuberger

Title

Cfo

Phone

(561) 337-4454

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669894093. Details of each certification follow.

• CCN 683176 Home health agency · Active · Details

Home health agency certification: CCN 683176

Legal name

CROWN HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 16, 2015

Last certification

Feb 16, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

3900 Lake Center Dr
Ste A4
Mount Dora, FL 32757-2203

Listed as

Crown Home Health Care, IncCCN 683176 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Mar 16, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1669894093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 LAKE CENTER DR STE A4",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572203",
            "telephone_number": "352-561-2376",
            "fax_number": "352-561-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LAKE CENTER DR STE A4",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572203",
            "telephone_number": "352-561-2376",
            "fax_number": "352-561-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "HEUBERGER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-337-4454"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolas Cosentino
• Cesar Coss
• Pamela Costello
• Lauren Craney, LMHC
• Heather Crossley
• Cserv
• CTK Properties, LLC (Kiva of Mount Dora)
• Jocelyn Cullen
• Nicholas Cummings
• Stephanie R Cummings

• Home Health Agency in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.