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Contact Information

CROWN MEDICAL HOME HEALTH AGENCY INC
1925/1931 1ST AVENUE SOUTH
MINNEAPOLIS, MN55403-3724
 Phone: 612-978-3783
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for CROWN MEDICAL HOME HEALTH AGENCY INC

NPI Number 1154567436
LBN Legal business name CROWN MEDICAL HOME HEALTH AGENCY INC
Authorized official JOYCE ONYEKABA - (DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/17/2008
Last updated 12/17/2008 - About 17 years ago
Identifiers
MN License # 338043
MN License # 342349
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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