Provider Demographics
NPI:1588264832
Name:CROWND
Entity type:Organization
Organization Name:CROWND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ALDINE
Authorized Official - Middle Name:N
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-394-4579
Mailing Address - Street 1:3597 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79603-4537
Mailing Address - Country:US
Mailing Address - Phone:202-394-4579
Mailing Address - Fax:
Practice Address - Street 1:3301 N 3RD ST STE 116
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79603-7054
Practice Address - Country:US
Practice Address - Phone:202-394-4579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LYNKUP TRANSPORT CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty