Crestwood Legacy Homes LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CRESTWOOD LEGACY HOMES LLC

Practice address

942 Studer Ave
Columbus, OH 43206-1637

Phone

(937) 543-2738

NPI assigned

Jun 18, 2026

Organization subpart

No

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

Authorized official

Name

Paul Simbarashe Shenjere Mutiswa

Title

Owner

Phone

(614) 699-8343

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1215863352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 STUDER AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432061637",
            "telephone_number": "937-543-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 STUDER AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432061637",
            "telephone_number": "937-543-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD LEGACY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "SHENJERE MUTISWA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "SIMBARASHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-699-8343"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iryna M Crescenze, MD
• Aaron Crespino
• Chandler Philip Cress, RN
• Kayleigh Cress, PHARMD
• Cresthaven Medical Supply LLC
• Leslie Crevar, LPC
• Summer Crews
• Holly Marie Crichley, PT
• Kristin Garton Crichton, D.O.
• Tessa Marie Crilley, APRN-CNP

• Assisted Living Facility in Columbus, OH
• Providers in Columbus, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.