OrganizationActive
Crown Care Corporation
NPI 1265290712 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Frederick, MD
Provider details
- NPI number
- 1265290712
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Adegbenga Kiladejo, Manager(240) 416-1579
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
5100 Buckeystown Pike
Frederick, MD 21704-8336
Phone: (240) 416-1579
Approximate (ZIP-level) locationGet directions
Mailing address
5403 Richardsons Endeavor Dr
Bowie, MD 20720-3390
Other names (DBA / former)
- Other name
- Ccc Homes
Registry dates
- Enumerated
- 2024-03-11
- Last updated
- 2024-03-11
- Certified
- 2024-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.