Provider Demographics
NPI:1932861945
Name:CROWNSDEL HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:CROWNSDEL HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAZEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:ADELEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-871-2990
Mailing Address - Street 1:31311 MALLET CV
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-1939
Mailing Address - Country:US
Mailing Address - Phone:832-871-2990
Mailing Address - Fax:
Practice Address - Street 1:31311 MALLET CV
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-1939
Practice Address - Country:US
Practice Address - Phone:832-871-2990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty