Crowne of Life Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1180L001 Issued in NY

Legal business name

CROWNE OF LIFE CARE, INC.

Practice address

4626 New Utrecht Ave
Brooklyn, NY 11219-2553

Phone

(718) 475-2333

Fax

(718) 475-2323

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Martine C Walker

Title

Administrator

Phone

(718) 475-2333

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1821281718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 NEW UTRECHT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192553",
            "telephone_number": "718-475-2333",
            "fax_number": "718-475-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 NEW UTRECHT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192553",
            "telephone_number": "718-475-2333",
            "fax_number": "718-475-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWNE OF LIFE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MARTINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-475-2333"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1180L001",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "02812628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02812628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crown Nursing Home Associates Inc.
• Crown of Life Ny LLC
• Crown Rehab, PT, OT, SLP, LLP
• Crown RX Inc
• Kim Crown
• Makini Cruickshank
• Isaiah Tobias Crum, M.D.
• Yvette Crumity, NURSE PRACTITIONER
• Ivana Stonehill Crumpton
• David Cruvant, M.D.

• Home Health Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.