Active NPI
Crescent Home Healthcare, Inc.
- Home Health Agency
- Oakbrook Terrace, IL
National Provider Identifier
1083717953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010484
- Legal business name
- CRESCENT HOME HEALTHCARE, INC.
- Practice address
- 1S443 Summit Ave Ste 204
Oakbrook Terrace, IL 60181-3972 - Phone
- (773) 427-1220
- NPI assigned
- Sep 6, 2006
- Last updated
- Sep 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marjana Siraj
- Title
- Administrator
- Phone
- (773) 427-1220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010484 | IL | Primary |
Addresses
Primary practice location
1S443 Summit Ave Ste 204
Oakbrook Terrace, IL 60181-3972
Mailing address
1S443 Summit Ave Ste 204
Oakbrook Terrace, IL 60181-3972
Phone (773) 427-1220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010484 | Other | IL | IDPH LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060914000639 | IL | Part A Provider - Home Health Agency | 3870502578 | Practice locations: Oakbrook Terrace, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1083717953. Details of each certification follow.
Home health agency certification: CCN 147990
- Legal name
- CRESCENT HOME HEALTHCARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 13, 2008
- Last certification
- Sep 7, 2007
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 1S443 Summit Ave
Ste 204
Oakbrook Terrace, IL 60181-3972
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Crescent Home Healthcare, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 13, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Crescent Home Healthcare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Crescent Home Hospice
- Community Based Hospice Care Agency
- Chicago, IL
- NPI 1780986562
Locations
1S443 Summit Ave
Ste 204AB
Oakbrook Terrace, IL 60181
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Omair Siraj | 5% Or Greater Direct Ownership Interest | Dec 28, 2020 | 100% |
| Corporate Officer | Oct 7, 2011 | 75% | |
| Corporate Director | Oct 7, 2011 | 75% | |
| W-2 Managing Employee | Oct 7, 2011 | 75% | |
| Operational/Managerial Control | Oct 7, 2011 | 75% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- West Bloomfield, MI
- NPI 1619458460
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Oak Park, IL
- NPI 1811254303
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1083717953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1S443 SUMMIT AVE STE 204",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601813972",
"telephone_number": "773-427-1220",
"fax_number": "773-557-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1S443 SUMMIT AVE STE 204",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601813972",
"telephone_number": "773-427-1220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESCENT HOME HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A",
"authorized_official_last_name": "SIRAJ",
"authorized_official_first_name": "MARJANA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "773-427-1220"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010484",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDPH LICENSE",
"identifier": "1010484",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakbrook Terrace, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.