Provider Demographics
NPI:1598471468
Name:CROWN CARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:CROWN CARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CO-FOUNDER, AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:KYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:KENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-608-9341
Mailing Address - Street 1:1225 HOYT DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-0017
Mailing Address - Country:US
Mailing Address - Phone:469-608-9341
Mailing Address - Fax:469-663-0364
Practice Address - Street 1:1225 HOYT DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-0017
Practice Address - Country:US
Practice Address - Phone:469-608-9341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-25
Last Update Date:2023-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care