Crescent Homecare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HCO-141077 Issued in VA

Legal business name

CRESCENT HOMECARE, LLC

Practice address

3536 Carlin Springs Rd Ste 11N
Falls Church, VA 22041-3035

Phone

(571) 435-4732

Fax

(703) 546-1014

NPI assigned

Dec 10, 2013

Last updated

Dec 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jasmin Bajramovic

Title

Owner/Administrator

Phone

(571) 435-4732

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1023449428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6736 METROPOLITAN CENTER DR APT 304",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221504578",
            "telephone_number": "703-778-2068",
            "fax_number": "703-546-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 CARLIN SPRINGS RD STE 11N",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413035",
            "telephone_number": "571-435-4732",
            "fax_number": "703-546-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "BAJRAMOVIC",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "571-435-4732"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO-141077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Falls Church, VA
• Providers in Falls Church, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.