Crown Of Life Inc

LBN: Crown Of Life Inc
Crown Of Life Inc is an health care organization with primary practice located at 14644 Lakewood Ave , Jamaica NY 11435-5438. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Crown Of Life Inc can be contacted via phone (718) 526-8921, or through Anglin, Randy via phone (718) 526-8921.

Contact Information

Primary practice address
14644 Lakewood Ave Jamaica NY 11435-5438
Phone: (718) 526-8921
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anglin, Randy
Phone: (718) 526-8921

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1180L001 New York

Profile Details

NPI number 1629114723
LBN Legal business name Crown Of Life Inc
DBA Doing business as
Authorized official Anglin, Randy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629114723 NPPES
New York MEDICAID 02177580
New York MEDICAID 02335106
New York MEDICAID 02431905
New York MEDICAID 02433654

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