Provider Demographics
NPI:1669894093
Name:CROWN HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:CROWN HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HEUBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-337-4454
Mailing Address - Street 1:3900 LAKE CENTER DR STE A4
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-2203
Mailing Address - Country:US
Mailing Address - Phone:352-561-2376
Mailing Address - Fax:352-561-2377
Practice Address - Street 1:3900 LAKE CENTER DR STE A4
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-2203
Practice Address - Country:US
Practice Address - Phone:352-561-2376
Practice Address - Fax:352-561-2377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health