Crescent Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CRESCENT HOME CARE, LLC

Practice address

221 Clarkson Executive Park
Ellisville, MO 63011-2173

Phone

(314) 741-3800

Fax

(314) 741-3801

NPI assigned

May 10, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ameen Bajwa

Title

Cfo

Phone

(314) 741-3800

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sikander M Bajwa, MAOM, PT

  • Physical Therapist
  • Ellisville, MO
  • NPI 1295908358
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1013573443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 CLARKSON EXECUTIVE PARK",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112173",
            "telephone_number": "314-741-3800",
            "fax_number": "314-741-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 CLARKSON EXECUTIVE PARK",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112173",
            "telephone_number": "314-741-3800",
            "fax_number": "314-741-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "AMEEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-741-3800"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Scott Copeland, DC
• Counseling and Assessment Center, LLC
• Windalee Cowell-McCavron, M.S. CCC-SLP
• Jessee Crane, M.D.
• Creative Change, LLC
• Crescent Home Health Agency, LLC
• Crescent Physical Rehabilitation, LLC
• Crystal Martin DDS
• Crystal Martin DDS LLC
• Mary Patricia Curtis, RN NP-C

• In Home Supportive Care Agency in Ellisville, MO
• Providers in Ellisville, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.