Provider Demographics
NPI:1407670847
Name:CROWNNEKAN HOMES INC
Entity type:Organization
Organization Name:CROWNNEKAN HOMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLUWAFEMI
Authorized Official - Middle Name:P
Authorized Official - Last Name:ADENEKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-297-8992
Mailing Address - Street 1:11006 RAWLINGS CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-8153
Mailing Address - Country:US
Mailing Address - Phone:202-297-8992
Mailing Address - Fax:
Practice Address - Street 1:11006 RAWLINGS CT
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-8153
Practice Address - Country:US
Practice Address - Phone:202-297-8992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care