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CROWN MEDICAL HOME HEALTH AGENCY INC NPI 1154567436


NPI Information

NPI: 1154567436
Provider Name: CROWN MEDICAL HOME HEALTH AGENCY INC
Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 24D1083099

Address:
1925/1931 1ST AVENUE SOUTH
MINNEAPOLIS, MN
ZIP 55403
Phone: (612) 978-3783
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CROWN MEDICAL HOME HEALTH AGENCY INC is a nursing facility intermediate care facility in Minneapolis, MN. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. CROWN MEDICAL HOME HEALTH AGENCY INC NPI is 1154567436. The provider is registered as an organization entity type.

The provider's business location address is:

1925/1931 1ST AVENUE SOUTH
MINNEAPOLIS, MN
ZIP 55403-724
Phone: (612) 978-3783

The provider's authorized official is Joyce Ihioma Onyekaba .
The authorized official title is Director and has the following contact phone number (612) 978-3783.

The CLIA number assigned to this NPI record is 24D1083099 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2008 and was last updated on 12/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility342349MINNESOTANo
2313M00000XNursing Facility/Intermediate Care Facility338043MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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