Crown Home Health Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1007004 Issued in IL

Legal business name

CROWN HOME HEALTH AGENCY, INC.

Practice address

6336 N Cicero Ave Ste 202
Chicago, IL 60646-4448

Phone

(773) 481-1353

Fax

(773) 481-1778

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Juan Carlos Rubio

Title

President

Phone

(773) 481-1353

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 147587

Legal name

CROWN HOME HEALTH AGENCY, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 18, 1994

Last certification

Feb 11, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 4, 1994 in IL

Enrollment address

6336 N Cicero Ave
Ste 202
Chicago, IL 60646-4448

Listed as

Crown Home Health Agency, Inc.CCN 147587

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Oct 18, 1994

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 1

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

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Cesar A Carranza, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1447207022

  Home health agency

  Care Compare affiliation
• Alejandro Rarang, M.D.

  • General Practice Physician
  • Chicago, IL
  • NPI 1063534121

  Home health agency

  Care Compare affiliation
• Jerry Villasenor Jr., M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1831107135

  Home health agency

  Care Compare affiliation
• Elsie R Walker, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1164510772

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1679615405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 N CICERO AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464448",
            "telephone_number": "773-481-1353",
            "fax_number": "773-481-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 N CICERO AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464448",
            "telephone_number": "773-481-1353",
            "fax_number": "773-481-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-481-1353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1007004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY",
            "identifier": "BCBS5049",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Crowley, CNP
• Richard W. Crowley, M.D.
• Sarah Grace Crowley
• Taylor Crowley, MS, CCC-SLP
• Crown Covid Testing LLC
• Crown Home Health Services LLC
• Crowning Glory Lace Wigs
• Matthew David Crowther
• Clayton Crozier
• CRT Medical PC

• Home Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.