Crownz Heavenly Palace LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CROWNZ HEAVENLY PALACE LLC

Practice address

712 H St NE # 1509
Washington, DC 20002-3627

Phone

(771) 210-4720

Fax

(771) 210-4720

NPI assigned

Jan 21, 2025

Organization subpart

No

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

Authorized official

Name

Mikaelah GrantNPI 1649084856

Title

Ceo/Owner

Phone

(410) 900-7909

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikaelah Grant

  • Prosthetic/Orthotic Supplier
  • Lanham, MD
  • NPI 1649084856
  NPD Authorized official

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1679385306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 H ST NE # 1509",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 H ST NE # 1509",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023627",
            "telephone_number": "771-210-4720",
            "fax_number": "771-210-4720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Forbes Blvd Ste 200-E21",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207066312",
            "country_code": "US",
            "telephone_number": "771-210-4720",
            "fax_number": "771-210-4720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROWNZ HEAVENLY PALACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "MIKAELAH",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "410-900-7909"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Crowell
• Brandon Michael Crowley, MD
• Jessica Crowley
• Crowned With Confidence Speech Language Therapy
• Crownnekan Healthcare Services Inc
• Caitlin Joyce Crowther, M.D.
• Andres Alejandro Criswell Crucet-Choi
• Kingsley Cruickshank, MD
• Sharon Cruickshank
• Catherine Crum, LICSW

• Prosthetic/Orthotic Supplier in Washington, DC
• Providers in Washington, DC by specialty
• Prosthetic/Orthotic Supplier in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.