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CROWN OF LIFE INC
NPI 1629114723
Specialist in Jamaica, NY

Active since January 29, 2007
14644 LAKEWOOD AVE, JAMAICA, NY 11435(718) 526-8921 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crown Of Life Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROWN OF LIFE INC (NPI 1629114723) is a healthcare organization registered as a specialist in Jamaica, New York and active in the NPI registry since January 2007. The organization lists Randy Anglin, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1629114723
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCROWN OF LIFE INC
Location Address14644 LAKEWOOD AVEJamaica, NY 11435-5438
Mailing Address14644 Lakewood AveJamaica, NY 11435-5438 · (718) 526-8921
Phone(718) 526-8921
Organization SubpartNo
Authorized OfficialRandy AnglinSole Proprietor · (718) 526-8921
Enumeration DateJanuary 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629114723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 1180L001
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
14644 LAKEWOOD AVE, Jamaica, NY 11435
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Other Identifiers 4

Medicaid02335106NY
Medicaid02177580NY
Medicaid02431905NY
Medicaid02433654NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crown Of Life Inc's NPI number?

The NPI number for Crown Of Life Inc is 1629114723. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Crown Of Life Inc located?

Crown Of Life Inc is located at 14644 Lakewood Ave, Jamaica, NY 11435. The listed phone number is (718) 526-8921.

What is Crown Of Life Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Crown Of Life Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.