OrganizationActive
Crown Couture Solutions LLC
NPI 1417793613 · Prosthetic/Orthotic Supplier · Ellenwood, GA
Provider details
- NPI number
- 1417793613
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Ladreaka White, Ceo(830) 357-0759
Specialties & taxonomies
Suppliers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
411 Arden Pl
Ellenwood, GA 30294-1618
Phone: (830) 357-0759
Street-level locationGet directions
Mailing address
101 Fairview Rd Ste 103-211
Ellenwood, GA 30294-2722
Registry dates
- Enumerated
- 2024-07-08
- Last updated
- 2024-07-08
- Certified
- 2024-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.