Crown Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992933 Issued in FL

Legal business name

CROWN HOME CARE INC

Practice address

1130 E Donegan Ave
Suite 8
Kissimmee, FL 34744-1918

Phone

(407) 933-7570

Fax

(407) 933-7571

NPI assigned

Nov 20, 2007

Last updated

Jul 25, 2008By 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

Mrs. Vivienne O Gordon-Williams, RN

Title

Director

Phone

(407) 933-7570

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 1750562567. Details of each certification follow.

• CCN 683165 Home health agency · Active · Details

Home health agency certification: CCN 683165

Legal name

CROWN HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 12, 2014

Last certification

Sep 16, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 21, 2006 in FL

Enrollment address

1130 E Donegan Ave
Suite 8
Kissimmee, FL 34744
HHA Branch

Listed as

Crown Home Care IncCCN 683165 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Nov 12, 2014

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 5

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

Affiliated clinicians 5

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

• Kayla Brant, FNP-BC

  • Family Nurse Practitioner
  • Deltona, FL
  • NPI 1457212664

  Home health agency

  Care Compare affiliation
• Tiffany James, APRN

  • Family Nurse Practitioner
  • Palm Bay, FL
  • NPI 1588089098

  Home health agency

  Care Compare affiliation
• Samuel Jean, MD, MPH

  • Internal Medicine Physician
  • Longwood, FL
  • NPI 1730276783

  Home health agency

  Care Compare affiliation
• Zoila Elizabeth Jorro, D.O

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1134161441

  Home health agency

  Care Compare affiliation
• Umair A Khan, DO

  • Internal Medicine Physician
  • Ocoee, FL
  • NPI 1255746426

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1750562567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E DONEGAN AVE",
            "address_2": "SUITE 8",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441918",
            "telephone_number": "407-933-7570",
            "fax_number": "407-933-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E DONEGAN AVE",
            "address_2": "SUITE 8",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441918",
            "telephone_number": "407-933-7570",
            "fax_number": "407-933-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "GORDON-WILLIAMS",
        "authorized_official_first_name": "VIVIENNE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-933-7570",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Crockett, OD
• Ucilla Crooke
• Taylor Croteau, MD
• Roger Crouse, MD
• Crown Dentistry LLC
• Melanie De la Caridad Cruz Gomez
• Cruz Homecare & Educational Services LLC
• Seydi Cruz Lopez
• Isabel Cristina Cruz Marrero
• Cruz Medical Equipment LLC

• Home Health Agency in Kissimmee, FL
• Providers in Kissimmee, 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 25, 2008; 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.