CROWN MEDICAL LLC (NPI# 1164569893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164569893 |
| Entity Type | Organization |
| Organization Name | CROWN MEDICAL LLC |
| Practice Address |
19303 Fielding St Detroit MI 48219-2528 |
| Practice Telephone | 3132551759 |
| Practice Fax Number | 3132551759 |
| Mailing Telephone | 3132551759 |
| Mailing Fax Number | 3132551759 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RANDALL JAMES WARD (OWNER) |
| Authorized Official Telephone | 3132551759 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Crown Medical LLC | 8320 Alpinview Way, Colorado Springs, CO 80919 |
| Street Address |
19303 FIELDING ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
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| 1487754545 | Metro Detroit Respiratory Home Care | Durable Medical Equipment & Medical Supplies | 16909 Livernois Ave, Detroit, MI 48221-3058 | 2006-09-25 |
| 1467487090 | Tri-county Dme Inc | Durable Medical Equipment & Medical Supplies | 660 Woodward Ave, Suite 1057, Detroit, MI 48226-3516 | 2006-07-12 |
| 1033142948 | Healthy Living Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 1401 Vermont St Ste 110, Detroit, MI 48216-2402 | 2006-07-07 |
| 1639129067 | Carlin Employment Services Inc. | Durable Medical Equipment & Medical Supplies | 15819 Schoolcraft St, Detroit, MI 48227-1749 | 2006-05-10 |
| 1053386334 | Henry Ford Health System | Durable Medical Equipment & Medical Supplies | 2799 W Grand Blvd, Wp-1102a, Detroit, MI 48202-2608 | 2006-02-21 |
| 1760457048 | Henry Ford Health System | Durable Medical Equipment & Medical Supplies | 7800 W Outer Dr, Ste 104, Detroit, MI 48235-3461 | 2006-02-21 |
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|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
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| 1700407368 | Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 11930 Whitmore Lake Rd Ste C, Whitmore Lake, MI 48189-9153 | 2020-05-05 |
| 1245860899 | American Home Health Care, Inc. | Durable Medical Equipment & Medical Supplies | 24782 Forterra Dr, Warren, MI 48089-4375 | 2020-01-23 |
| 1720623804 | Air-caire Home Medical Equipment and Supplies Inc | Durable Medical Equipment & Medical Supplies | 3554 Alpine Ave Nw, Grand Rapids, MI 49544-1659 | 2019-11-12 |
| 1285118976 | Compass Medical Equipment | Durable Medical Equipment & Medical Supplies | 28035 Southfield Rd Ste 104, Lathrup Village, MI 48076-2858 | 2018-09-19 |
| 1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
| 1588162168 | Valerie Bzeih Iatrics Medical Supplies and Equipment | Durable Medical Equipment & Medical Supplies | 7243 Reuter St, Dearborn, MI 48126-1545 | 2018-01-29 |
| 1649798901 | Patient Choice Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2075 Fort St Ste 101a, Lincoln Park, MI 48146-2191 | 2017-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.