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CROWN SENIOR SERVICES LLC NPI 1104085307


NPI Information

NPI: 1104085307
Provider Name: CROWN SENIOR SERVICES, LLC
Classification: Adult Companion - 372600000X
Entity Type: Organization
Address:
418 CANARY ISLAND CIR
DAVENPORT, FL
ZIP 33837
Phone: (863) 424-6306
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CROWN SENIOR SERVICES, LLC is an adult companion in Davenport, FL. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. CROWN SENIOR SERVICES, LLC NPI is 1104085307. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

418 CANARY ISLAND CIR
DAVENPORT, FL
ZIP 33837-553
Phone: (863) 424-6306

The provider's authorized official is Judith Rene Figareau .
The authorized official title is Owner and has the following contact phone number (863) 424-6306.

The enumeration date for this NPI number is 6/3/2008 and was last updated on 6/4/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1376J00000XHomemaker230388FLORIDANo
2372600000XAdult Companion230388FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1693590700MEDICAIDFLORIDA

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: 5/5/2024

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