Organization Active NPI

Crown Assisted Living

  • Assisted Living Facility
  • Delray Beach, FL
National Provider Identifier
1851173413
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CROWN ASSISTED LIVING
Practice address
132 NW 9TH Ave
Delray Beach, FL 33444-2669
Phone
(561) 674-4554
NPI assigned
Oct 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Mr. Yvenet Jesuca, NPNPI 1376009159
Title
Owner
Phone
(561) 674-4554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

132 NW 9TH Ave
Delray Beach, FL 33444-2669

Mailing address

8736 Escondido Way E
Boca Raton, FL 33433-2511

Other names 2

  • Crown Assisted Living Former legal business name
  • Crown Assisted Living Facilty Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1851173413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8736 ESCONDIDO WAY E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 NW 9TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334442669",
            "telephone_number": "561-674-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "JESUCA",
        "authorized_official_first_name": "YVENET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-674-4554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Assisted Living",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Crown Assisted Living Facilty",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.