Provider Demographics
NPI:1386976843
Name:CROWNCARE MANAGEMENTS LLC
Entity type:Organization
Organization Name:CROWNCARE MANAGEMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-260-3763
Mailing Address - Street 1:1123 DEEP RIVER DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6247
Mailing Address - Country:US
Mailing Address - Phone:832-260-3763
Mailing Address - Fax:
Practice Address - Street 1:1123 DEEP RIVER DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6247
Practice Address - Country:US
Practice Address - Phone:832-260-3763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage