Healthcare Provider Details

I. General information

NPI: 1659283414
Provider Name (Legal Business Name): CROWN ROYAL CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 METROPLEX DR STE 221
NASHVILLE TN
37211-3109
US

IV. Provider business mailing address

435 METROPLEX DR STE 221
NASHVILLE TN
37211-3109
US

V. Phone/Fax

Practice location:
  • Phone: 615-618-1452
  • Fax:
Mailing address:
  • Phone: 615-618-1452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS ROSELINDA DIMBIE
Title or Position: OWNER
Credential:
Phone: 615-918-9268