Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crownz Heavenly Palace LLC

Organization Prosthetic/Orthotic Supplier · NPI 1679385306

Crownz Heavenly Palace LLC is a Prosthetic/Orthotic Supplier in Washington, District of Columbia. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

712 H St NE # 1509
Washington, DC 20002-3627
Phone: (771) 210-4720
Fax: (771) 210-4720
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4500 Forbes Blvd Ste 200-E21, Lanham, MD 20706-6312 — (771) 210-4720

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1679385306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mikaelah Grant — Ceo/Owner · (410) 900-7909
NPI enumeratedJanuary 21, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address712 H St Ne # 1509, Washington, DC 20002-3627

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