Provider Demographics
NPI:1831649961
Name:CROWN CAPITAL STRATEGIES LLC
Entity Type:Organization
Organization Name:CROWN CAPITAL STRATEGIES LLC
Other - Org Name:INTERIM HEALTHCARE OF ROCHESTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:DANIELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-890-0804
Mailing Address - Street 1:2659 SUPERIOR DR NW STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-8534
Mailing Address - Country:US
Mailing Address - Phone:507-200-1111
Mailing Address - Fax:507-208-7598
Practice Address - Street 1:2659 SUPERIOR DR NW
Practice Address - Street 2:SUITE 2
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-8533
Practice Address - Country:US
Practice Address - Phone:507-200-1111
Practice Address - Fax:507-208-7598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-13
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based