# CROWN SIGNATURE HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427996172
- **Authorized official:** TIARA JACKSON (OWNER)
- **Authorized official phone:** (678) 358-9243

## Contact information

- **Practice address:** 425 GRANDIFLORA DR, MCDONOUGH, GA 30253-8009
- **Practice address phone:** (770) 609-9225
- **Mailing address:** 2086 JODECO RD \# 1661, MCDONOUGH, GA 30253-5220
- **Mailing address phone:** (770) 609-9225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2026
- **Last updated:** 03/24/2026