Provider Demographics
NPI:1831073907
Name:CROWN CAREGIVERS INC
Entity type:Organization
Organization Name:CROWN CAREGIVERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEMOND
Authorized Official - Middle Name:KASON
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:CLTC
Authorized Official - Phone:702-800-5805
Mailing Address - Street 1:8465 W SAHARA AVE, SUITE 111
Mailing Address - Street 2:BOX 1223
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117
Mailing Address - Country:US
Mailing Address - Phone:702-800-5805
Mailing Address - Fax:702-356-2319
Practice Address - Street 1:4550 OAKEY BLVD SUITE 111
Practice Address - Street 2:OFFICE N
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1559
Practice Address - Country:US
Practice Address - Phone:702-800-5805
Practice Address - Fax:702-356-2319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-02
Last Update Date:2025-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care