Captivating Crown Llc

LBN: Captivating Crown Llc
Captivating Crown Llc is an health care organization with primary practice located at 1325 Rock Quarry Rd , Stockbridge GA 30281-5088. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Captivating Crown Llc can be contacted via phone (770) 506-4247, or through Killingsworth, Crystal via phone (770) 506-4247.

Contact Information

Primary practice address
1325 Rock Quarry Rd Stockbridge GA 30281-5088
Phone: (770) 506-4247
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Killingsworth, Crystal
Phone: (770) 506-4247

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1770245433
LBN Legal business name Captivating Crown Llc
DBA Doing business as
Authorized official Killingsworth, Crystal
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2021
Last updated Apr 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770245433 NPPES
Georgia MEDICAID 309-628398

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