CROWN MEDICAL HOME HEALTH AGENCY INC


Address: 1925/1931 1st Avenue South, Minneapolis, MN 55403-3724
Phone: 6129783783

CROWN MEDICAL HOME HEALTH AGENCY INC (NPI# 1154567436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154567436
Entity Type Organization
Organization Name CROWN MEDICAL HOME HEALTH AGENCY INC
Practice Address 1925/1931 1st Avenue South
Minneapolis
MN 55403-3724
Practice Telephone 6129783783
Mailing Telephone 6129783783
Enumeration Date 2008-12-17
Last Update Date 2008-12-17
Authorized Official Name DR. JOYCE IHIOMA ONYEKABA (DIRECTOR)
Authorized Official Telephone 6129783783
Authorized Official Credential M.D
Is Organization Subpart Y
Parent Organization Name CROWN MEDICAL HOME HEALTH AGENCY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 310400000X Assisted Living Facility 342349 MN Nursing & Custodial Care Facilities
Y 313M00000X Nursing Facility/Intermediate Care Facility 338043 MN Nursing & Custodial Care Facilities

Office Location

Street Address 1925/1931 1ST AVENUE SOUTH
City MINNEAPOLIS
State MN
Zip Code 55403-3724

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NPI Name Taxonomy Address Enumeration
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1063871259 Vicky Smiley-turner Counselor 1523 Nicollet Ave. South, Minneapolis, MN 55403 2016-02-16
1326449026 Lowry Hill Psychotherapy and Assessment Center Psychologist 1910 Hennepin Ave S, Minneapolis, MN 55403 2014-09-12
1285062372 Cheryl Patterson Marriage & Family Therapist 1725 2nd Ave So, Minneapolis, MN 55403 2013-10-29
1598101156 Sherri M Dunham Counselor 1200 S Marquette Ave, Minneapolis, MN 55403 2013-05-21
1831533173 Laura Farley Young Social Worker 1925 Nicollet Ave S, Minneapolis, MN 55403 2013-04-17
1275801797 Elizabeth Ann Hamer Counselor 1717/1725 2nd Ave. So., Minneapolis, MN 55403 2011-12-12
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

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.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1891821658 Elliot Care Home, Inc. Nursing Facility/Intermediate Care Facility 1500 Elliot Ave, Minneapolis, MN 55404-1618 2007-02-26
1881681997 Werner Enterprises Inc. Nursing Facility/Intermediate Care Facility 3427 Central Ave Ne, Minneapolis, MN 55418-1221 2005-10-04
1619976974 Mount Olivet Home Nursing Facility/Intermediate Care Facility 5517 Lyndale Ave S, Minneapolis, MN 55419-1719 2005-07-19
1457355240 Dynamic Health Concepts, Inc. Nursing Facility/Intermediate Care Facility 715 W 31st St, Minneapolis, MN 55408-2915 2005-06-09
1588717086 Great Plains of Ottawa Co, Inc. Nursing Facility/Intermediate Care Facility 215 E 8th St, Minneapolis, KS 67467-1908 2007-01-19
1871573220 L & R Investments Inc Nursing Facility/Intermediate Care Facility 3427 Central Ave Ne, Minneapolis, MN 55418-1221 2006-01-20

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1548817620 Affinity Residential Care LLC Nursing Facility/Intermediate Care Facility 9213 Elliot Ave S, Bloomington, MN 55420-3851 2019-08-22
1548703929 Lynda Duoseke Abagi Nursing Facility/Intermediate Care Facility 661 Eagle Ridge Rd, Woodbury, MN 55125-1461 2016-12-02
1972947851 Villa At Osseo LLC Nursing Facility/Intermediate Care Facility 501 2nd Street Ne, Osseo, MN 55369-1603 2013-04-23
1790060838 Stonehaven Assisted Living Inc. Nursing Facility/Intermediate Care Facility 8783 2nd Street South, Brookston, MN 55711-0284 2011-10-20
1770863375 Walker Thompson Hill, LLC Nursing Facility/Intermediate Care Facility One Thompson Avenue West, West St. Paul, MN 55118-3100 2011-08-26
1497995203 Kinder Care Homecare Services Nursing Facility/Intermediate Care Facility 270 County Road 110 N, Minnetrista, MN 55364-8316 2009-03-06
1609011170 St. Francis Health Care System Inc Nursing Facility/Intermediate Care Facility 1591 Woodlynn Ave Unit 1, Maplewood, MN 55109-5709 2008-12-11
1154580793 Sunrise To Sunset Adult Day Services Inc. Nursing Facility/Intermediate Care Facility 3001 W Arrowhead Rd, Duluth, MN 55811-4232 2008-06-09
1861672198 Harmony Living Health Care Services Nursing Facility/Intermediate Care Facility 7509 Colfax Ave N, Brooklyn Park, MN 55444-2550 2007-11-03
1013040112 Presbyterian Homes of North Oaks Inc Nursing Facility/Intermediate Care Facility 5919 Centerville Rd, North Oaks, MN 55127-6821 2007-03-14
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Competitor

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City MINNEAPOLIS
Zip Code 55403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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