OrganizationActive
Crownz Heavenly Palace LLC
NPI 1679385306 · Prosthetic/Orthotic Supplier · Washington, DC
Crownz Heavenly Palace LLC is a Prosthetic/Orthotic Supplier organization in Washington, DC (NPI 1679385306).
Provider details
- NPI number
- 1679385306
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Mikaelah Grant, Ceo/Owner(410) 900-7909
Specialties & taxonomies
Suppliers
Profile Score
Established profile(60/100 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
2 documented practice locations
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
712 H St Ne # 1509
Washington, DC 20002-3627
Phone: (771) 210-4720
Fax: (771) 210-4720
Street-level locationGet directions
Mailing address
712 H St Ne # 1509
Washington, DC 20002-3627
Additional practice locations (1)
- 4500 Forbes Blvd Ste 200-E21Lanham, MD 20706-6312Phone: (771) 210-4720Fax: (771) 210-4720
Registry dates
- Enumerated
- 2025-01-21
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Frequently asked questions
- What is Crownz Heavenly Palace LLC's NPI number?
- Crownz Heavenly Palace LLC's National Provider Identifier (NPI) is 1679385306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crownz Heavenly Palace LLC?
- Crownz Heavenly Palace LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Crownz Heavenly Palace LLC located?
- Crownz Heavenly Palace LLC's practice location on file with NPPES is 712 H St Ne # 1509, Washington, DC 20002-3627.
- What is Crownz Heavenly Palace LLC's phone number?
- The practice phone number listed in the NPPES registry for Crownz Heavenly Palace LLC is (771) 210-4720.
- Who is the authorized official for Crownz Heavenly Palace LLC?
- The authorized official listed on Crownz Heavenly Palace LLC's NPPES record is Mikaelah Grant, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crownz Heavenly Palace LLC's NPI active?
- Yes — Crownz Heavenly Palace LLC's NPI (1679385306) is active in the NPPES registry as of the last update on 2025-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.