Provider Demographics
NPI:1851571442
Name:CROWN HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:CROWN HOME HEALTH SERVICES LLC
Other - Org Name:LOYAL HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TROST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-888-3965
Mailing Address - Street 1:1 EAST SUPERIOR STREET
Mailing Address - Street 2:SUITE 504
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:708-344-1850
Mailing Address - Fax:708-344-1886
Practice Address - Street 1:1 EAST SUPERIOR STREET
Practice Address - Street 2:SUITE 504
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:708-344-1850
Practice Address - Fax:708-344-1886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-12
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
148150Medicare Oscar/Certification