Provider Demographics
NPI:1710349436
Name:CROWN HOME CARE INC.
Entity Type:Organization
Organization Name:CROWN HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDIHAKIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-540-5088
Mailing Address - Street 1:1710 DOUGLAS DR N STE 224F
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4359
Mailing Address - Country:US
Mailing Address - Phone:612-540-5088
Mailing Address - Fax:
Practice Address - Street 1:1710 DOUGLAS DR N STE 224F
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-4359
Practice Address - Country:US
Practice Address - Phone:612-540-5088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health