CROWNZ HEAVENLY PALACE LLC
NPI 1679385306
Prosthetic/Orthotic Supplier in Washington, DC

Active since January 21, 2025
712 H ST NE # 1509, WASHINGTON, DC 20002(771) 210-4720(771) 210-4720 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crownz Heavenly Palace Llc NPPES

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

CROWNZ HEAVENLY PALACE LLC (NPI 1679385306) is a healthcare organization registered as a prosthetic/orthotic supplier in Washington, District Of Columbia and active in the NPI registry since January 2025. The organization maintains a secondary practice location in Lanham and lists Mikaelah Grant, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1679385306
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameCROWNZ HEAVENLY PALACE LLC
Location Address712 H ST NE # 1509Washington, DC 20002-3627
Mailing Address712 H St Ne # 1509Washington, DC 20002-3627
Fax(771) 210-4720
Organization SubpartNo
Authorized OfficialMikaelah GrantCeo/owner · (410) 900-7909
Enumeration DateJanuary 21, 2025
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
NPI 1679385306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
712 H ST NE # 1509, Washington, DC 20002

Secondary Practice Location 1

Location 14500 Forbes Blvd Ste 200-E21Lanham, MD 20706-6312 · Phone (771) 210-4720 · Fax (771) 210-4720

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 Crownz Heavenly Palace LLC's NPI number?

The NPI number for Crownz Heavenly Palace LLC is 1679385306. It was assigned to this organization in the NPPES registry on January 21, 2025.

Where is Crownz Heavenly Palace LLC located?

Crownz Heavenly Palace LLC is located at 712 H St NE # 1509, Washington, DC 20002. The listed phone number is (771) 210-4720.

What is Crownz Heavenly Palace LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Crownz Heavenly Palace LLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.